Combined Modified Sugiura Operation and Limited Splenocaval Shunt for Portal Hypertension

Objective To evaluate the therapeutic effect of combined portoazygous devascularization and limited splenocaval shunt for the treatment of portal hypertension. Methods Retrospective analysis was made on 30 patients with portal hypertension undergoing combined modified sugiura operation and limited splenocaval shunt operation from 2001 to 2005.Results The average score of free portal pressure(FPP) after treatment was significantly decreased as compared with that before treatment by(9.98±7.33)cm H_2O(P0.01).the portal vein diameter(PVD) decreased from(1.6±0.18)cm H_2O to(1.4±0.14)cm H_2O.The artifical vessels is smooth and the thrombosis is not obvious.There is no death and hemorrhage in 30 patients undergoing selective operation.Conclusion The effects of combined operation to prevent hemorrhage is satisfactory.Combined operation can prevent portal hypertensive gastrophy effectively and decreased the rate of postoperative hepatic encephalopathy.Combined modified sugiura operation and limited splenocaval shunt is a rational surgical procedure in portal hypertensive surgery.