Віддалені наслідки виконання шунтуючих операції при цирозі печінки

Abstract

The comparative analysis of late follow-up results of the distal splenorenal anastomosis forming operation is presented, performed according to standart method of W.D.Warren (DSRAst.) in 12 patients, DSRA in modification of K.lnokuchi (DSRAmod.)-17 and nonselective portocaval shunting -in 31. After the DSRAst. forming during 12 -16 mo. the intrapancreatic portosystemic venous collaterals have been formed, throught which 40 % of the portal vien blood flowed bу, causing hepatic portal perfusion lowering and enhancing the portosystemic encephalopathy occurence frequency up to 25 %. The splenopancreatic venous disconnection performance had prolonged the selectivity of the shunt preservation. In the late follow-up period the frequency of the bleeding and thrombotic complications occurrence after selective and nonselective shunting is similar. The late survival index and the patients' "quality" of life is significantly higher after the selective shunting operation performance.