Radical correction for Budd-Chiari syndrome through a transabdominal approach

Abstract

Background: To describe radical correction for Budd-Chiari syndrome through a unique transabdominal approach.

Method: After the liver was turned leftward through a transabdominal approach, segments II and III of the inferior vena cava (IVC), the second porta hepatis, and third porta hepatis were visualized. Then, radical correction and angioplasty of the IVC were performed. Three patients operated through this approach recovered well.

Result: All procedures were performed successfully, without any perioperative mortality. There were two cases of postoperative ascites. The elevated venous pressure and the liver function returned to normal at follow-up.

Conclusion: Radical correction for Budd-Chiari syndrome through a transabdominal approach without extracorporeal circulation minimizes the surgical injury and has a good curative effect.