Retroperitoneal Approach for Portasystemic Decompression

1 November 1975

journal article
case report
Published by American Medical Association (AMA) in Archives of Surgery

Vol. 110 (11) , 1347-1350
https://doi.org/10.1001/archsurg.1975.01360170087012

Abstract

• A left retroperitoneal approach has been developed and used to perform a renal-splenic shunt for portal decompression in seven patients with massive variceal hemorrhage. In each patient, at least one intra-abdominal finding contraindicated a conventional transperitoneal portasystemic shunt. Retroperitoneal approach avoided possible complications and permitted successful portal decompression with cessation of bleeding in each instance. These results support the use of this technique when it is necessary to avoid the peritoneal cavity in a patient requiring portasystemic decompression. (Arch Surg 110:1347-1350, 1975)

Keywords

This publication has 1 reference indexed in Scilit:

Use of the Left Renal Vein for Portal Decompression
Annals of Surgery, 1971