RESEARCH OF THE LONG-TERM OUTCOMES OF PORTOSYSTEMIC SHUNTING DEPENDING ON THE ETIOLOGY OF LIVER CIRRHOSIS

Аннотация

Purpose. Conduct a summary analysis of the results after the portosystemic shunting depending on the etiology of liver cirrhosis. Material and methods. The study selected 109 patients with cirrhosis of the liver, operated operated by the RSSPMCS named after acad. V.Vakhidov in 2014-2017. With hepatitis B, B + D and C - 72 patients. To compare the features of the course of the late postoperative period, the study included patients with alcoholic cirrhosis of the liver (n = 21) and idiopathic form (n = 16). Results. In hepatitis B liver cirrhosis within 5 years after portosystemic shunting, 10 out of 32 (31.3%) patients died, in HBV and HDV cirrhosis - 18 out of 26 (69.2%), HCV - 4 out of 14 (28, 6%), alcoholic– 7 out of 21 (33.3%) and idiopathic - 4 out of 16 (25%) patients. In the structure of mortality in HBV, hepatic failure accounted for 21.9% (7 of 32) cases, hemorrhagic syndrome - 9.4% (3), with HBV and HDV cirrhosis, these figures were 53.8% (14 of 26) and 15.4% (4) respectively, with HCV - 21.4% (3 out of 14) and 7.1% (1), with alcoholic - 23.8% (5 out of 21) and 9.5% (2) and for idiopathic, 12.5% ​​(2 of 16) and 12.5% ​​(2). A total of 66 (60.6%) patients were alive in all species in terms of 5 years of follow-up after surgery, the mortality rate was 39.4% (43 of 109 patients).