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Mesentericocaval shunt (MCS) with autologous jugular vein

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Abstract

We report our personal experience of 114 patients with portal hypertension treated with mesentericocaval shunt (MCS) and 167 with portocaval anastomosis (PCA). In addition, the 2 procedures were evaluated in a controlled trial of 21 MCS patients and 25 PCA patients. We found no significant difference in the results of the 2 operations in terms of operative mortality rate, incidence of hepatic encephalopathy, and long-term survival. The surgical procedure of MCS is no easier to perform than PCA; it requires the preparation of the graft, 2 vascular anastomoses, and longer operative time. It seems appropriate to select this operation only with those patients who, for anatomical reasons, cannot undergo PCA.

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Authors and Affiliations

  1. Department of Surgery, University of Rome, “La Sapienza”, Policlinico Umberto 1∘, 00161, Rome, Italy

    Sergio Stipa M.D., F.A.C.S. & Vincenzo Ziparo M.D.

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  1. Sergio Stipa M.D., F.A.C.S.
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  2. Vincenzo Ziparo M.D.
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Stipa, S., Ziparo, V. Mesentericocaval shunt (MCS) with autologous jugular vein. World J. Surg. 8, 702–705 (1984). https://doi.org/10.1007/BF01655766

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  • DOI: https://doi.org/10.1007/BF01655766

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