[Indications for lymphovenous anastomosis for ascites in cirrhosis of the liver].

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.