Pericardial devascularization combined with preservation of Latarjet's nerves trunk in treatment of patients with portal hypertension
Pericardial devascularization combined with preservation of Latarjet's nerves trunk in treatment of patients with portal hypertension作者机构：Department of General Surgery Beijing Military Command General Hospital Beijing 100700 China. lishiyong66@***
出 版 物：《Hepatobiliary & Pancreatic Diseases International》 (国际肝胆胰疾病杂志（英文版）)
年 卷 期：2003年第2卷第1期
页 面：66-68页
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：vagus nerve hypertension portal
摘 要：OBJECTIVE: To investigate the effect of perieardial devascularization combined with preservation of Latarjet s innervation on portal hypertension. METHODS: Sixty-two patients (57 men and 5 women) have been undergone pericardial devascularization combined with Latarjet s innervation since 1984. Clinical results and postoperative complications were evaluated. RESULTS: The incidence of upper-digestive tract bleeding was 3.2% (2 patients) within 1 month after operation. Four patients (6.5%) died within 1 month atier operation (3 patients received emergency operation and 1 selective operation). Among them, 3 patients died from hepatic failure, and one patient from sepsis due to subphrentic infection. Among these deaths, 3 were evaluated Child s C. After operation, the number of patients with abdominal distension, sudden diarrhea and gastric retension was 7 (11. 3%), 3 (4.8%) and 0, respectively. CONCLUSION: Pericardial devascularization combined with Latarjet s innervation can preserve the normal function of gastric emptying, prevent acute lesion of the gastric mucosa, and reduce the incidence of esophageal varices rebleeding after operation.
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