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[Members Only And Two Factor Auth.] J.Jpn. Surg. Soc.. 93(9): 1159-1163, 1992
Report on the annual meeting
RESULTS OF NON-DECOMPRESSION SURGERY FOR ESOPHAGO-GASTRIC VARICES
－POSTOPERATIVE DISAPPEARANCE, RECURRENCE, REBLEEDING RATE OF VARICES, AND CUMULATIVE SURVIVAL RATE－
A total of 508 patients had an non-decompression surgery for esophago-gastric varices in our department, from September 1979 to December 1991. These patients consisted of 387 cases of transthoracic esophageal transection with paraesophago-gastric devascularization, 40 cases of transabdominal esophageal transection, and 81 cases of Hassab procedure. The original diseases were cirrhosis in 432 patients, IPH in 35, extrahepatic-portal occlusion in 24, primary biliary cirrhosis in 6, Budd-Chiari syndrome in 4, and others in 7. Operative mortality rate was 5.3%. By thoracic approach, esophageal varices completely disappeared. Postoperative cumulative variceal recurrence and bleeding rates at 10 years were 12% and 7%, although recurrence occurred more often than not in cases with hepatocellular carcinoma (HCC). Cumulative survival rates at 5, 10 years were 69%, 46% in liver cirrhosis without HCC. Present study comfirmed that our non-decompression surgery is effective in controlling esophagogastric varices in long term of periods.
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