Treatment of Portal Hypertension with Combined Devascularization and Splenorenal Shunt

Objective: To explore a new operative method to improve the curative effects of portal hypertension caused by hepatocirrhosos. Method: 20 patients with portal hypertension were treated with combined devascularization (splenectomy, portaazygous devascularization and esophageal transection) and splenorenal shunt. Results: 1 patient died after operation. 12 patients were followed-up for 6～30 months postoperatively. None of the 12 patients had rebleeding and hepatic encephalopathy. Esophageal varices disappeared in 10 patients and improved in 2 patients. Ascites disappeared in 10 patients 2 months after operation, in 1 patient (with large amount) 6 months after operation. The bloodflow in portal vein and splenorenal anastomotic orifice were unobstructed under Color Doppler Sonography 6 months after operation. Conclusion: Combined devascularization and splenorenal shunt could make the devascularization more effectively in the treatment of portal hypertension.