Novel Bedside Ligation for Staged Closure of Congenital Portosystemic Shunts: A Single-Center Experience in 20 Children

In brief

This single-center study describes a portal venous pressure-guided surgical strategy for closing congenital portosystemic shunts in 20 pediatric patients, introducing a novel bedside ligation technique for staged closure. The approach tailors one-stage versus staged intervention based on intraoperative pressure measurements during temporary shunt occlusion.

• Portal venous pressure monitoring during temporary occlusion guides safe surgical decision-making for CPS closure.
• Novel bedside ligation technique enables staged closure when initial PVP elevation contraindicates one-stage repair.
• 20-patient series demonstrates feasibility of PVP-guided strategy in pediatric congenital portosystemic shunt management.

Written by the GCMD Library team from the article.