Forecasting of portocaval shunting in patients with the liver cirrhosis

Abstract

The results of portocaval shunting (PCSh) in 61 patients were studied. In all patients they aimed to implement the partial bypass with the limited size of the vascular anastomosis (mean diameter 10 mm), regardless of the version of the overlay anastomosis.
In the majority (67%), the results are satisfactory, and mainly at partial PCSh. Unsatisfactory outcomes of the operation (17 from 20) were due to the development of acute liver failure and encephalopathy, due to the complete reduction of blood flow in the portal vein and total bypass. In the remote period in 61% of patients satisfactory results were noted, mostly at partial bypass and only in 4 people – at total. Unsatisfactory results of the operation were observed in 16 patients, of whom in 12 (75%) at total PCSh and in 4 – at a partial bypass.