[Embolization of the splenic artery in liver cirrhosis]. / Embolizatsiia selezenochnoi arterii pri tsirroze pecheni.

An experience with 70 embolizations of the splenic artery in 62 patients points to the importance of differential approach in choosing this method of treatment. Of primary importance in solving this problem is thought to be the degree of the disease which must determine the variant of reduction of the splenic bloodflow.

[Variations of internal drainage of the thoracic duct in cirrhosis of the liver]. / Varianty vnutrennego drenirovaniia grudnogo limfaticheskogo protoka pri tsirroze pecheni.

The experience with 100 operations of the internal drainage of the thoracic lymphatic duct has shown technical difficulties of the procedure. In relation with concrete topographo-anatomical conditions the authors recommend to use reimplantation of the thoracic lymphatic duct and plastic operations on its orifice in addition to the lymphovenous anastomosis. Their technique is described.

[Indications for lymphovenous anastomosis for ascites in cirrhosis of the liver]. / Pokazaniia k limfovenoznomu anastomozu po povodu astsita pri tsirroze pecheni.

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.