[Drainage of the thoracic lymphatic duct and lymphovenous anastomosis in treating portal hypertension].

To correct the portal blood flow 52 operations on the thoracic lympheduct (TLD) were performed on 43 patients with decompensated portal hypertension syndrome. The external drainage of the TLD (lymphaticostomy) was carried out upon 22 patient and the internal drainage of TLD (lympho-venous anastomosis-LVA) upon 26 patients. 4 patients underwent other operations. The authors conclude that the selection of a LVA variant should be individual, depending on peculiarities of topographo-anatomical correlations between TLD and the anastomosed vein.