[Correction of lymph circulation in liver cirrhosis].
The approach to surgical correction of lymph circulation in hepatic cirrhosis is described. The main criteria in the choice of operations draining neck lymphatic duct were hyperkinetic central hemodynamics with high functional pressure in thoracic lymphatic duct and lymphovenous pressure gradient, central or mixed type of intrahepatic lymph flow. All the 26 patients underwent transvenous external-internal drainage of thoracic duct as a temporal measure for stabilization of patients state. Reinfusion of lymph after lymphosorption promoted detoxication in hepatic failure in patients with cirrhosis, complicated by resistant ascites. Low pressure indices of central lymphodynamics and mixed intrahepatic lymph flow are indications for anastomosis creation between right lumbar vein and right lymphatic duct. In this case it is possible to save the behind-hepatic portion of cava inferior in potential recipients of liver transplants.
Iarema
I V
IV
Omarov
I M
IM
D000714:Anastomosis, Surgical / Q000379:methods; D004322:Drainage / Q000379:methods; D006439:Hemodynamics; D006801:Humans; D008102:Liver Circulation; D008103:Liver Cirrhosis / Q000503:physiopathology / Q000601:surgery*; D011379:Prognosis; D013897:Thoracic Duct / Q000503:physiopathology / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000601:surgery*
Korrektsiia limfoobrashcheniia pri tsirroze pecheni.