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

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To report our institutional experience with a portal venous pressure (PVP)-guided surgical strategy for congenital portosystemic shunts (CPSs) and introduce a novel bedside ligation technique for staged shunt closure.We retrospectively reviewed 20 children who underwent surgical CPS closure between 2013 and 2023. The surgical approach was determined by intraoperative PVP during temporary shunt occlusion. One-stage ligation was performed when PVP remained

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Article · Jan 2026 · 1 min read

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.

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