After a large uncontrolled experience, in April 1976, a randomized clinical trial between side-to-side portacaval anastomosis and a mesentericocaval shunt with internal jugular vein interposition was initiated. Up to April 1979, 23 patients were operated upon with a mesentericocaval shunt and 26 with a portacaval anastomosis. With a mean follow-up time of 23 months, no statistically significant differences in terms of operative mortality, hepatic encephalopathy and long term survival were found between the two operations. Therefore, a mesentericocaval shunt does not appear to offer effective advantages compared with the portacaval anastomosis, and it should be peformed in particular instances in which, for anatomic reasons, a portocaval anastomosis cannot be performed.
A randomized controlled trial of mesentericocaval shunt with autologous jugular vein / S., Stipa; Ziparo, Vincenzo; M., Anza; G., Fabrini; R., Lupino. - In: SURGERY, GYNECOLOGY & OBSTETRICS. - ISSN 0039-6087. - 153:3(1981), pp. 353-356.
A randomized controlled trial of mesentericocaval shunt with autologous jugular vein
ZIPARO, Vincenzo;
1981
Abstract
After a large uncontrolled experience, in April 1976, a randomized clinical trial between side-to-side portacaval anastomosis and a mesentericocaval shunt with internal jugular vein interposition was initiated. Up to April 1979, 23 patients were operated upon with a mesentericocaval shunt and 26 with a portacaval anastomosis. With a mean follow-up time of 23 months, no statistically significant differences in terms of operative mortality, hepatic encephalopathy and long term survival were found between the two operations. Therefore, a mesentericocaval shunt does not appear to offer effective advantages compared with the portacaval anastomosis, and it should be peformed in particular instances in which, for anatomic reasons, a portocaval anastomosis cannot be performed.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.