J.Jpn. Surg. Soc.. 58(1): 1-24, 1957

---

STUDIES ON LIVER FUNCTION AND ITS HISTOPATHOLOGY IN SURGERY FOR PORTAL HYPERTENSION
Ⅰ. EXPERIMENTAL STUDY ON LIVER FUNCTION AND HISTOPATHLOGY FOLLOWING SEVERAL SURGICAL PROCEDURES ON THE PORTAL VEIN

In attempting to relieve portal hypertension by a variety of surgical procedures, a total of 553 cases of experimental study has been undertaken, using portacaval side-to-side anastomosis, and portacaval end-to-side anastomosis (Eck's operation), associated with arterialization of the portal vein, intrahepatic omentopexy and intrahepatic arterial implantation in which effect of each operation on liver function has been investigated as well as histologic study in biopsy of the liver. Intraheptic omentopexy and intrahepatic arterial implantation are new methods devised at our surgical department in 1955 and 1956 respectively.
In the functional test of the liver one and half months after the surgery there is the same degree of increased impairment of liver function noticed in the Eck'soperation, portacaval side-to-side anastomosis, and intrahepatic omentopexy. In the cases of Eclc's operation followed by arterialization of portal vein or arterial implantation to the liver, no evidence of marked reduction of the liver function are noticed in the preoperative and follow-up comparison. Histologic study obtained from wedge biopsy shows the same results.
In the group of intrahepatic arterial implantation, nearly 100% of the cases were found to have an apparent anastomosis between the implanted artery and the hepatic vessels, as compared to 50 % which anastomosis was revealed between the omental artery and hepatic vessels after intrahepatic omentopexy.
(author's abstract)

---

---

To read the PDF file you will need Adobe Reader installed on your computer.