[The results of porto-systemic shunting in patients with liver cirrhosis].
The research is based on the analysis of 500 patients with liver cirrhosis and complicated portal hypertension, treated during 1976--2005. Survival analysis was performed using the Kaplan-Mayer method. Immediate and long-term results of various modifications of porto-systemic shunting procedure are analyzed for stratificated groups. Thus, the highest mortality (12.5-19.5%) is noted during the first 3 years after operation in all groups. The best survival results showed patients with functional class Ch "A" and no varices bleeding anamnestically, with no regard of method of the shunting procedure, ages of patients and cirrhosis morphological type. The 5-year survival-rate after distal spleno-renal anastomosis and central variants of porto-systemic shunting are 89 and 85%, respectively.
Nazyrov
F G
FG
Deviatov
A V
AV
Ibadov
R A
RA
Khashimov
Sh Kh
ShKh
D006801:Humans; D008103:Liver Cirrhosis / Q000401:mortality / Q000601:surgery*; D011170:Portasystemic Shunt, Surgical; D011183:Postoperative Complications / Q000453:epidemiology; D015996:Survival Rate