[Early complications and long-term results of the LeVeen peritoneo-venous shunt in the treatment of refractory ascites].
Results concerning 14 cirrhotic patients who underwent LeVeen peritoneo-venous shunt for refractory or complicated ascites are discussed. The most relevant early complications regard coagulation disorders (35.7%) with a 14.3% postoperative mortality. The functional result appears largely satisfactory, also in terms of long-term efficiency. Utility of a wide evacuation of ascitic fluid during the operation is underlined. Ascites drainage at operation doesn't compromise shunt function or renal resumption, furthermore it may prevent some life-threatening complications like DIC, esophageal varices rupture and congestive heart failure.
Arciero
G
G
Cattedra di Chirurgia Generale, Facoltà di Medicina e Chirurgia, Università degli Studi di Napoli, Federico II, Napoli.
Di Blasio
V
V
Botta
V
V
Rossi
M
M
Pigna
F
F
Di Tora
A
A
D000368:Aged; D001201:Ascites / Q000601:surgery*; D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010536:Peritoneovenous Shunt / Q000009:adverse effects; D011183:Postoperative Complications / Q000209:etiology*; D013997:Time Factors; D016896:Treatment Outcome
Complicanze precoci e risultati a lungo termine dello shunt peritoneo-venoso di LeVeen nel trattamento dell'ascite refrattaria.