 |
|
Hepatic Arterialization and Portacaval Shunt in Hepatic CirrhosisAn Assessment
Jean-Noël Maillard, MD;
Bernard Rueff, MD;
Daniele Prandi, MD;
Christian Sicot, MD
AMA Arch Surg. 1974;108(3):315-320.
Abstract
A survey of the results obtained by four teams of workers shows that hepatic arterialization has usually been combined with elective portacaval anastomosis (PCA); in some patients, however, it has been done for the relief of encephalopathy months or years after PCA, and in other patients it has been associated with emergency PCA. Total hepatic blood flow after PCA plus arterialization with a small-caliber artery is equal to, or slightly greater than, the preshunt flow. After PCA plus arterialization the immediate postoperative complications are no worse than after PCA alone, but the subsequent incidence of portosystemic encephalopathy is less. The arteriovenous anastomosis itself is unlikely to be permanent. If it remains patent throughout the first postoperative year, which is the most critical phase of the postshunt course, it will have served a useful purpose.
Author Affiliations
Colombes, France; Clichy, France
From the Service de Chirurgie, Hôpital Louis Mourier, Colombes, France (Dr. Maillard); the Unité de Recherches de Physiopathologie hépatique, Hôpital Beaujon, Clichy, France (Drs. Rueff and Sicot); and the Service de Chirurgie, Hôpital Beaujon, Clichy, France (Dr. Prandi).
Footnotes
Accepted for publication Oct 9, 1973.
Reprint requests to Service de Chirurgie, Hôpital Louis Mourier, 178 rue des Renouillers, 92700 Colombes, France (Dr. Maillard).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
The Evolution of Portal Hypertension Surgery: Lessons From 1000 Operations and 50 Years' Experience
Orozco and Mercado
Arch Surg 2000;135:1389-1393.
ABSTRACT
| FULL TEXT
|
