splenorenal การใช้

• Warren was a pioneer in surgery for portal hypertension and developed the distal splenorenal shunt.
• The splenorenal ligament ( from the left kidney to the spleen ) is occasionally considered part of the greater omentum.
• Methods of treating the portal hypertension include : transjugular intrahepatic portosystemic shunt, or a distal splenorenal shunt procedure or a liver transplantation.
• Fischer JE, Bower RH, Atamian S, Welling R . Comparison of distal and proximal splenorenal shunts : a randomized prospective trial.
• Distinctions between the phrenicosplenic ligament and adjacent ligaments, such as the gastrophrenic, gastrosplenic and splenorenal ligaments, which are all part of the same mesenteric sheet, are often nebulous.
• The modified Sugiura procedure is indicated in patients with well-preserved liver function ( Child-Pugh class A or B without chronic ascites ) and who are not candidates for transjugular intrahepatic portosystemic shunt, distal splenorenal shunt, or liver transplantation