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Margaryan S.R.

Pirogov Russian National Research Medical University;
Children’s City Clinical Hospital named after N.F. Filatov

Razumovsky A.Yu.

Pirogov Russian National Research Medical University;
Children’s City Clinical Hospital named after N.F. Filatov

Mitupov Z.B.

Pirogov Russian National Research Medical University;
Children’s City Clinical Hospital named after N.F. Filatov

Gurevich A.I.

Children’s City Clinical Hospital named after N.F. Filatov

Titova E.A.

Children’s City Clinical Hospital named after N.F. Filatov

Reconstruction of total portosystemic shunt into selective portosystemic shunt in a child

Authors:

Margaryan S.R., Razumovsky A.Yu., Mitupov Z.B., Gurevich A.I., Titova E.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(12): 140‑146

DOI: 10.17116/hirurgia2023121140

Views: 957

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To cite this article:

Margaryan SR, Razumovsky AYu, Mitupov ZB, Gurevich AI, Titova EA. Reconstruction of total portosystemic shunt into selective portosystemic shunt in a child. Pirogov Russian Journal of Surgery. 2023;(12):140‑146. (In Russ.)
https://doi.org/10.17116/hirurgia2023121140

Подписка 2025 (Pirogov Russian Journal of Surgery)
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To date, side-to-side splenorenal shunt (SRS) and its analogues (splenosuprarenal shunts (SSRS)) are mainly used for portal hypertension. These are total portosystemic shunts characterized by total blood shunt from portal vein into inferior vena cava. The latter is fraught with a significant risk of complications such as pulmonary hypertension, decreased portal liver perfusion, liver failure and hepatic encephalopathy. Prevention of these complications is still an urgent problem in modern surgery. However, we proposed a new method of treatment, i.e. reconstruction of SRS and SSRS into selective shunt. This procedure was performed in 37 patients after 2020. We present laparoscopic reconstruction in an 11-year-old girl with portal hypertension and signs of hepatic encephalopathy identified after previous SSRS.

Keywords:

children
portal hypertension
total portosystemic shunts
reconstruction of shunts
selective portosystemic shunt
splenic vein occlusion
portal liver perfusion
liver failure
hyperammonemia
hepatic encephalopathy

Authors:

Margaryan S.R.

Pirogov Russian National Research Medical University;
Children’s City Clinical Hospital named after N.F. Filatov

Razumovsky A.Yu.

Pirogov Russian National Research Medical University;
Children’s City Clinical Hospital named after N.F. Filatov

Mitupov Z.B.

Pirogov Russian National Research Medical University;
Children’s City Clinical Hospital named after N.F. Filatov

Gurevich A.I.

Children’s City Clinical Hospital named after N.F. Filatov

Titova E.A.

Children’s City Clinical Hospital named after N.F. Filatov

Received:

25.05.2023

Accepted:

13.06.2023

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