A new radical operation for Budd Chiari syndrome

Although there are several operations used to treat the Budd Chiari syndrome, many of them are not really radical. The radical operation, howeve, either could not eradicate the lesions of inferior vena vava （IVC） and hepatic vein （HVs）, or results in more mortality caused by great oprative injury. Therefor, we designed the extracorporeal circulation with deep hypothermia and arrested circolation, then super hepatic inferior vena vava was opened. The lesions of IVC and HVs were resected in the lumen of IVC. From September 1993 to July 1995,8 cases were treated. The results were excellent. The operative advantages included 1. The circulation was arrested which provided bloodless and clear visual field, the lesions were resected easily and completely. 2. The operative injury was relatively less. Because it only needed midline stenotomy, without lqparotomy The incision of the IVC is short, and the lesions of the HVs and IVC were resected in the lumen of the IVC. 3. The operation was safe without deah and complication. 4. The oparetive effect was very good. These patients returned to their normal work 2 months after operation. The follow-up time averaged 18 months, the IVC and HVs were patent without any symptom.