Radical surgery for 4 patients with Budd-Chiari syndrome through abdomen approach

Objective: To investigate effective surgical therapy and essentials on Budd-Chiari syndrome.Methods: The IVC venography was used to investigate the diseased segment,and the open surgical resection of abnormal segment in IVC was performed in 3 patients through an inverse Y incision on abdomen.The double membrane was found in one patient and the surgical resection and obliterans from IVC were performed,and the balloon dilatation and angioplasty with e-PTFE vascular graft were also performed.Results: All the operations were successful.There were no death and pulmonary embolus.The syndromes of IVC hypertension was alleviated completely.The following up ranged from 6 months to 14 months.The stritcture was found after 6 months in one patient,and the syndromes disapeared after the percutaneous transluminal angioplasty and endovascula stent was performed.Conclusions: Radical surgery on Budd-Chiari syndrome through abdomen approach was less invasive,safty with less complications.