title: [Lymphovenous anastomosis in severe ascites].
abstract: The authors dealt with 37 patients suffering from advanced liver cirrhosis with ascites. Eighteen patients out of them underwent Denver peritoneum-jugular shunt as a first choice procedure, the other 19 patients underwent lymphovenous anastomosis. The extremely advanced hepatic damage and the general conditions of these patients discouraged us to perform a portocaval shunt. In the 19 patients who underwent lymphovenous anastomosis we had no mortality rate. Two patients showed post-operative complications: 1 patient complained which hoarseness regressed in 5 months and the other patient suffered from a spleno-mesenteric-portal thrombosis with digestive hemorrhage from gastro-esophageal varices. In 6 patients out of 19 who underwent lymphovenous anastomosis, we did not obtain any immediate positive effects on ascites. In 4 patients, after 3 months, the ascites came back ingravescent and in the other 9 patients the positive effects on ascites were still evident after 1 year. Despite failure to obtain very comforting results, they suggest to employ this technique at any rate, as the first procedure, to make ascites more "manageable", because of its safety.
authors.forename: F
authors.initials: F
authors.lastname: Bracci
authors.forename: F
authors.initials: F
authors.lastname: Farina
authors.forename: M A
authors.initials: MA
authors.lastname: Zampino
authors.forename: C
authors.initials: C
authors.lastname: Bracaglia
authors.forename: G
authors.initials: G
authors.lastname: Salvini
authors.forename: G
authors.initials: G
authors.lastname: Cucchiara
mesh_terms: D000714:Anastomosis, Surgical; D001201:Ascites / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013897:Thoracic Duct / Q000601:surgery*
vernacular_title: L'anastomosi linfovenosa nell'ascite difficile.