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
ARCHIVES MAGAZINE
2021 (Vol.27)
2020 (Vol.26)
2019 (Vol.25)
2018 (Vol.24)
2017 (Vol.23)
2016 (Vol.22)
2015 (Vol.21)
2014 (Vol.20)
2013 (Vol.19)
2012 (Vol.18)
2011 (Vol.17)
2010 (Vol.16)
2009 (Vol.15)
2008 (Vol.14)
2007 (Vol.13)
2006 (Vol.12)
2005 (Vol.11)
2004 (Vol.10)
2001 (Vol.7)
2000 (Vol.6)
1999 (Vol.5)
1998 (Vol.4)
1997 (Vol.3)