Granov A M, Borisov A E, Zemlianoĭ V P, Anisimov V N, Shelukhin A P
Vestn Khir Im I I Grek. 1982 Jul;129(7):52-5.
The analysis of outcomes after the lymphovenous anastomosis on the neck of 52 patients with ascites due to cirrhosis of the liver are presented. In 16 cases ascites was arrested, in 15 patients there was a considerable elimination of ascites. In 14 cases the lympho-venous anastomosis resulted in stabilization of the ascitic syndrome, in 7 patients operation proved to be ineffective. In the nearest postoperative period 3 patients died. Two patients died of hemorrhage from the varicose-dilated veins of the esophagus an stomach, and one patients died of acute hepatic insufficiency. In the postoperative period and improvement of the functional state of the liver was noted. The authors propose to divide ascites into three stages which allowed to prognose results of the operation in the postoperative period and make the indications more definite.
本文介绍了对52例肝硬化腹水患者进行颈部淋巴静脉吻合术后的结果分析。16例患者腹水停止，15例患者腹水大量消退。14例患者淋巴静脉吻合术使腹水综合征得到稳定，7例患者手术证明无效。术后近期有3例患者死亡。2例患者死于食管和胃静脉曲张破裂出血，1例患者死于急性肝功能不全。术后观察到肝脏功能状态有所改善。作者建议将腹水分为三个阶段，这有助于预测术后手术结果并使手术指征更明确。
