ДОСТУП ЧЕРЕЗ ПРАВЫЙ БРЫЖЕЕЧНЫЙ СИНУС ДЛЯ НАЛОЖЕНИЯ СПЛЕНОРЕНАЛЬНОГО АНАСТОМОЗА ПРИ ПОРТАЛЬНОЙ ГИПЕРТЕНЗИИ

Abstract

Over the last decade throughout the world marked increase in the number of patients with cirrhosis of the liver, which is the most common cause of portal hypertension and its complications Distal splenorenal anastomosis is one of the most frequent types of vascular bypass surgery in patients with complications of portal hypertension. There are various surgical approaches to the splenic and renal veins for optimal blending splenorenal anastomosis (mesenteric through the left sinus region of the back, etc.). We have proposed the original on-line access through the right mesenteric sinus. Аnatomical and experimental studies on cadavers 42 and the proposed method has been tested in clinical practice have been carried out. The proposed access is preferable because it is better exposes the surgical field and the optimum angle of inclination of the operative action axis, less traumatic, because it does not provide a large detachment of the tissue in the retroperitoneal space.