Portocaval shunting as a mode of portal hypertension removal in patients with liver cirrhosis
We performed mini–invasive surgery of portocaval shunting (PCS) in 98 patients with liver cirrhosis (LC) and portal hypertension (PH). We formed distal splenorenal anastomosis in order to perform selective decompression of vena cava and portocaval anastomoses – for its partial decompression. Indications and contraindications for the PCS surgery are given. We observed the patients directly after the surgery during 3–6 months, the long–term follow–up lasted for 4–5 years. Clinical observation data prove the advantages of PCS in patients with LC. The surgery resulted in clinical improvement, vena cava system decompression, decrease of the encephalopathy and of the rate of complications. Selective and partial PCS for PH correction is an effective treatment of LC. It prevents gastroesophageal bleeding during long–term follow–up, improves patient survival when liver function is compensated or subcompensated.
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