Hemodynamic changes in the extrahepatic portal vein after combined distal splenorenal shunt, splenopancreatic disconnection and gastric disconnection
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R 657.34

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    Abstract:

    Abstract:Objective:To study the extrahepatic hemodynamic changes in portal system after DSRS+SPD and after DSRS+SPD+Disconnection in dogs. Methods:The FPP, POPP and MAP levels before operation, after DSRS+SPD and DSRS+SPD disconnection operation were measured; and the portal-system shunt(PSS) was calculated postoperatively. Results:After DSRS+SPD, FPP decreased(0.07±2.41)mmHg(P>0.05),POPP decreased(19.10±10.45)mmHg(P<0.01), MAP decreased (31.35±22.18)mmHg (P<0.01),PSS increased (4.53±4.09)% (P<0.01). After DSRS+SPD+Disconnection,FPP decreased (1.82±1.38)mmHg (P>0.05),POPP increased (11.14±8.85)mmHg (P<0.01), MAP decreased(9.83±7.59)mmHg (P>0.05),PSS decreased (6.72±4.55)% (P<0.01). Conclusions:There are two systems in the portal system, namely, gastrosplenic (GS) system and portomesenteric (PM) system, and between the two systems there is a functional barrier. DSRS+SPD+Disconnection operation can strengthen this barrier.

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LU Zhen-qi, JIN Hong-yong, ZHANG Xue-wen, ZHENG Ze-lin .Hemodynamic changes in the extrahepatic portal vein after combined distal splenorenal shunt, splenopancreatic disconnection and gastric disconnection[J]. Chin J Gen Surg,2006,15(12):4-892.
DOI:10.7659/j. issn.1005-6947.2006.12.004

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History
  • Received:January 01,1900
  • Revised:January 01,1900
  • Adopted:
  • Online: December 25,2006
  • Published: