Results 24 patients were subjected to SVC procedures including resection and one patient to two bypasses (between left and right innominate vein and right appendage), 7 to one bypass (left innominate to right appendage in 4 patients, right innominate to right appendage in 3), 11 to partial resection of SVC together with azygous vein, and 5 to partial resection of SVC.
结果 24例接受了不同类型的SVC手术,包括左及右无名静脉分别与右心房人工血管搭桥术1例、左无名静脉与右心房人工血管搭桥4例、右无名静脉与右心房搭桥3例、奇静脉切除并SVC部分切除11例、单纯SVC部分切除5例。
Surgical strategies included: 23 cases with meso-caval shunt, 8 cases with splenectomy and spleno-renal vein shunt, 1 case with porta-caval shunt, 2 cases with paraumbilical vein-jugular vein shunt, 3 cases with portal azygous disconnection, 1 cases with splenectomy and portal azygous disconnection, 1 case with sigmoidostomy and closed the fistula of sigmoid six months later, 1 case with resection of part of small intestine due to acute extensive thrombosis of portal vein system, 4 cases with selective superior mesenteric artery and splenic artery thrombolytic infusion therapy, 2 cases remained no-surgical option and underwent conservative treatment.
行肠系膜上静脉-下腔静脉分流术23例;脾切除、脾静脉-肾静脉分流术8例;门静脉-下腔静脉分流术1例;附脐静脉-颈内静脉分流术2例;门奇静脉断流术3例;脾切除、门奇静脉断流术1例;乙状结肠暂时性造瘘,6个月后闭瘘1例;大部分小肠切除术1例;经股动脉插管溶栓4例;未行手术2例,仅给予护肝及对症治疗。
Methods During 23 cases of thoracoscopic anterior procedure, anatomic landmarks, including the segmental vessels, azygous vein, intervertebral discs, rib heads and great splanchnic nerve, were observed.
方法对23例胸腔镜下的脊柱前路手术进行了解剖标志的观察,主要指标为节段血管、奇静脉、椎间盘、肋骨头及内脏大神经。