Vasilev S, Baev S, Ivanov S
Khirurgiia (Sofiia). 1990;43(2):36-41.
For a two-year period (1987-1988) 14 peritoneal-venous shunts with Le Veen's valve were performed in patients with cirrhosis of the liver and ascites. Immediate effect, manifested by decrease in the abdominal circumference and diminution or even complete disappearance of ascites with increased diuresis, was observed in 12 patients. Two patients died during the early postoperative period. The indications, postoperative preparation, operative technique, complications and postoperative care in this type of operative intervention are discussed. Inference is made that the good postoperative results depend on the need patients with refractory ascites to report early enough for operative treatment.
在两年期间(1987 - 1988年),对14例肝硬化腹水患者施行了带Le Veen瓣膜的腹膜 - 静脉分流术。12例患者出现了即刻效果,表现为腹围减小、腹水减少甚至完全消失,同时尿量增加。2例患者在术后早期死亡。讨论了这类手术干预的适应证、术后准备、手术技术、并发症及术后护理。得出的结论是,良好的术后效果取决于难治性腹水患者是否能尽早报告以便接受手术治疗。