Background Interventional therapy is widely accepted as the first choice for the treatment of the Budd-Chiari syndrome,but the use of radical correctional therapy should not be discarded.This study describes radical correction by controllingbleeding from distal end of pathological segment of the inferior vena cava(IVC)and discusses potential surgical errorsand postoperative complications.Methods Of the 216 patients in the study,78 were treated with simple membranectomy,64 with dissection of thepathological segment of the IVC and vascular prosthesis or pericardial patch plasty,60 with resection of the pathologicalsegment of the IVC and orthotopic graft transplantation with vascular prosthesis,and 14 with resection of the occlusivemain hepatic vein and its upper IVC,hepatic venous outflow plasty and vascular prosthesis orthotopic grafttransplantation from the hepatic venous entrance to the IVC of right atrial ostium.Results Except 14 cases who were discharged after hepatic vein outflow plasty,four cases died postoperatively,and198 patients were discharged without complications.The symptoms of 15 patients were relieved partially and 2 withoutany change.There were no deaths intraoperatively.Of the 112 cases who were followed up for 72 months,13 sufferedfrom a relapse.Conclusions Radical correction is a beneficial therapy in the treatment of Budd-Chiari syndrome
