Title: Diagnosis and surgical treatment of adult cavernous transformation of portal vein in 63 cases
Abstract: :Objective To summarizethe diagnosis and surgical treatment of the cavernous transformation of portal vein(CTPV). Methods Clinical data of 63 patients with adult CTPV trea-ted in our hospital from1976 to 2006 were retrospectively analyzed. Results The diagnosis of CT-PV was comfirmedaccording to (1) The main symptoms were repeated haematemesis, hemafecia,hy-persplenotrophy, hypersplenia and normal hepatic function. (2) B uhrasonography orultrasonic Doppler manifested that portal vein thinning or obstruction or embolism,honeycomb appearance con-duit can be seen around. Portal vein frequency spectrum can beseen in the honeycomb appearance con-duit. (3) CT and MR scan materials were exhibitedthat the main portal vein and its branches lost the normal shape and had the shaggy edge.(4) percutaneous splenoportography or selective arteriography of superior mesentericartery showed that occlusion of the main branch of portal vein at the porta hepa-tis wasrevealed, and a masslike network of tortuose veins around the porta hepatis and many smallir-regular veins radiating from the network to the liver were demonst rated. Splenectomyand devaseu-larization was performed in 23, spleneetomy and splenorenal shunt in 32,portal systemic shunt plus porta-azygous devascularization in 8. Portal hypertension wastreated first in CTPV with disease of biliary tract. No death happened. The rascult ofhaemogram recovered in a short period of time.Conclusion Once the patients are diagnosedto suffer from adult CTPV, they should receive explora-tory laparotomy. It is important tochoose the most effective treating method for the disease.
Publication Year: 2010
Publication Date: 2010-02-28
Language: en
Type: article
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Cited By Count: 1
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