Report the first intraoperative emergency Meso Rex shunt for the treatment of irreparable portal vein rupture. The patient, a 68 year old male, was admitted due to "recurrence after liposarcoma resection". Diagnosed as recurrent liposarcoma, surgical resection is planned. The tumor is located behind the main portal vein and is surrounded by important blood vessels such as the inferior vena cava, abdominal trunk, and superior mesenteric artery. During the surgical separation of the tumor, the posterior wall of the portal vein ruptured, leading directly to the confluence of the splenic vein and the superior mesenteric vein, which could not be repaired and forced to seal the main portal vein. To correct acute prehepatic portal hypertension, a Meso Rex shunt was performed using an artificial blood vessel to successfully restore portal vein blood flow. The postoperative patient recovered smoothly and has been followed up for more than 1 year with good survival.
期刊介绍:
Chinese Journal of Hepatobiliary Surgery is an academic journal organized by the Chinese Medical Association and supervised by the China Association for Science and Technology, founded in 1995. The journal has the following columns: review, hot spotlight, academic thinking, thesis, experimental research, short thesis, case report, synthesis, etc. The journal has been recognized by Beida Journal (Chinese Journal of Humanities and Social Sciences).
Chinese Journal of Hepatobiliary Surgery has been included in famous databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences), CSCD Source Journals of China Science Citation Database (with Extended Version) and so on, and it is one of the national key academic journals under the supervision of China Association for Science and Technology.