Transjugular intrahepatic portosystemic shunt before hepatic surgery in a patient with cirrhosis and portal hypertension: Case report

被引：5
作者：
Du Rieu, M. Chalret [1 ]
Carrere, N. [1 ]
Bureau, C. [2 ]
Lagarde, S. [3 ]
Otal, P. [3 ]
Pradere, B. [1 ]
机构：
[1] CHU Toulouse, Hop Purpan, Serv Chirurg Gen & Digest, F-31059 Toulouse, France
[2] CHU Toulouse Purpan, Serv Hepatol & Gastroenterol, Toulouse, France
[3] CHU Toulouse Rangueil, Serv Radiol, Toulouse, France
来源：
JOURNAL DE CHIRURGIE | 2009年 / 146卷 / 02期
关键词：
Portosystemic shunt; Cirrhosis; Portal hypertension; Hepatectomy; Umbilical vein; HEPATOCELLULAR-CARCINOMA; ABDOMINAL OPERATIONS; RESECTION; TIPS;
D O I：
10.1016/j.jchir.2009.05.013
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Major abdominal surgery may be contraindicated in patients with cirrhosis because of the high risk of intraoperative bleeding and postoperative decompensation. Careful preparation of these patients is essential, aimed especially at reducing portal hypertension. We report the case of a patient with cirrhosis complicated by hepatocellular carcinoma, whose portal hypertension manifested almost exclusively by reanastomosis from the umbilical vein. A transjugular intrahepatic portosystemic shunt (TIPS) was placed before surgery to prepare the patient for hepatic resection. In addition to the singularity of the presentation of portal hypertension, this case prompts us to consider neoadjuvant TIPS as a means of preparing these at-risk patients for major abdominal surgery. (C) 2009 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：191 / 194
页数：4
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