Journal «Angiology and Vascular Surgery» • 

2013 • VOLUME 19 • №2

Results of splenorenal venous bypass grafting in patients with hepatocirrhosis

Katelnitskyi I.I., Sapronova N.G.

Chair of Surgical Diseases No1 Rostov State Medical University, Rostov-on-Don, Russia

Presented herein are the results of surgical treatment of 79 patients with intrahepatic portal hypertension who underwent splenorenal venous bypass grafting after splenectomy. The patients’ age varied from 8 to 64 years, averaging 37.3 years. The authors followed up the immediate and remote results of treatment at terms varying from 1 to 20 years. Of the early postoperative complications mention should be made that intra-abdominal haemorrhage was revealed in 4 (5%) patients, six (7.6%) patients were found to develop left-side reactive pleuritis, one patient (1.2%) – bilateral pleuritis and pericarditis, subcutaneous eventration was revealed in 1 patient with pronounced ascites (1.2%). Haemorrhage from varicose dilated oesophageal veins in the early postoperative period was observed in 8 (10%) cases. Posthaemorrhagic anaemia was present in 27 cases (43.1%). The mortality rate in the early postoperative period amounted to 5% (4). We followed up the long-term results in 51 (64.5%) of the 79 patients at terms up to 5 years after surgery, in 17 patients at terms up to 10 years following interventions, in 9 at terms up to 15 years, and in one patient up to 20 years. A total of 3 patients died within the first postoperative year. 48 (94%) patients are alive 5 years after the operation, 10 – after ten years, with 7 having died. Five patients are still alive more than 15 years, four died, one followed up woman is still alive after 20 years with a satisfactory result.

KEY WORDS: hepatocirrhosis, portal hypertension, surgical treatment, immediate and remote results.

P. 116

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