132 -10 (60) 2023 — K.S. Dolim, H.R. Ishonkhuzhaev — OPTIONS FOR PORTOCAVAL VEIN ANASTOMOSIS DURING SURGICAL TREATMENT OF PATIENTS WITH LIVER CIRRHOSIS WITH PORTAL HYPERTENSION
OPTIONS FOR PORTOCAVAL VEIN ANASTOMOSIS DURING SURGICAL TREATMENT OF PATIENTS WITH LIVER CIRRHOSIS WITH PORTAL HYPERTENSION
K.S. Dolim, Tashkent Pediatric Medical Institute
H.R. Ishonkhuzhaev, Tashkent Pediatric Medical Institute
Kh.M.Zhafarov, Tashkent Pediatric Medical Institute
R.Yu.Makhmudov, Tashkent Pediatric Medical Institute
F.Ismoilov Tashkent Pediatric Medical Institute
Resume
Treatment of cirrhosis of the liver with portal hypertension remains a non-aging problem of modern medicine. Especially, the treatment of the most formidable complication of the disease, bleeding from the veins of the esophagus and thereby saving the patient’s life from death is associated with surgical methods of reducing portal pressure and for this the use of portocaval anastomoses is known. It is also known that portocaval anastomoses, together with an effective reduction of portal pressure, significantly worsen blood circulation in the liver, due to the release of portal blood into the caval system bypassing the liver with the development of hepatogenic encephalopathy.
The results of clinical studies have shown that in order to reduce these complications, it is necessary to use one of the variants of portocaval anastomosis – distal splenorenal anastomosis.
Key words: portal hypertension, hemodynamics, portocaval anastomoses, splenorenal anastomosis.
First page
768
Last page
772
For citation: K.S. Dolim, H.R. Ishonkhuzhaev, Kh.M.Zhafarov, R.Yu.Makhmudov, F.Ismoilov – OPTIONS FOR PORTOCAVAL VEIN ANASTOMOSIS DURING SURGICAL TREATMENT OF PATIENTS WITH LIVER CIRRHOSIS WITH PORTAL HYPERTENSION //New Day in Medicine 2023 10(60): 768-772 https://newdaymedicine.com/index.php/2023/12/27/l-691/
LIST OF REFERENCES:
- Пациора М.Д. и др. в кн. Хирургия портальной гипертензии. М. 1984.
- Петроваский Б.В. В кн. Хирургия портальной гипертензии. М.,1984. С. 3-5.
- Долимов К.С. Автореферат дисс. К.м.н. М.1981г
- Лазуткин М.В. Автореферат диссерт.к.м.н. Санк. Петербург. 2006.
- Прокопешь К.О и др. Журнал Медицина и биология. Киев. 2018;146-148.
- Хоронько Ю.В. и др. Журнал Вестник хир.гастроэнтерол. Россия. 2011;3:33-38.
- Котельников Л.П. и др. журнал: Новости хирургии. 2010; 2-14(4):436-438
- Котельницкий И.Н. и др. Журнал Ангиология и сосуд. хирургия. 2013;2:212-214.
- Котив Б.Н. и др. Анн. хирургич. Гепатология. 2015; 2:46-58.
- Назаренко Д.П. и др. Способ дист. спл. рен. анастомоза. Патент. 2113179. А. 61.В.1988
- Назиров Ф.Г. и др. Хирургия Узб. 2010;2:23-33.
- Назиров Ф.Г. и др. Сравн. Анализ резуль.дист.спл.рен анастомоза у пациентов с портальной гнипертензией. // Новости хирургии. 2011;5(19):52-59.
- Hashimota N. Ashida H. Effekt of distal spleno Renal shunt. // J. Hepatogastroenterology. 2005;52(61):274-276.
- Luca A. et oll. « Effekts of splenic arteri occlusion in portal pressure in patients with cirrhosis and portal hypertension». //Liver transpl 2006;12(8):1237-1243.