Outcomes of Azygoportal total Dissociation for Complicated Portal Hypertension: Comparison of Two Techniques

The aim of the research was to study the efficiency of different types of azygoportal collector total dissociation in patients with clinically significant portal hypertension. Material and methods: Depending on the procedure, the patients were divided into two groups. The first group consisted of 63 patients. Azygoportal dissociation was performed according to an original method. In the second group a modified version of azygoportal dissociation was performed. Patients were comparable in the main pathology and course of the disease. Results and discussion: Edematous ascitic syndrome; liver failure; insufficiency of gastro-gastral anastomosis and haemorrhagic syndrome were observed in 28.6%; 23.8%; 11.1%; and 14.3 against 16.5%; 7,7%; 0%; and 4.4% for patients of the I and II groups, respectively. Conclusion: proposed method of azygoportal collector dissociation on a prosthesis is a more effective method for hemorrhagic syndrome control and also allows to significantly reduce the incidence of severe complications in the nearest postoperative period.