Surgical treatment of complicated forms of liver cirrosis: current concepts and prospects (literature review)

Kantsurov Roman Nikolaevich, Sapronova Natalia Germanovna, Svetova Eleonora Vladimirovna, Kalinin Denis Sergeevich, Stagniev Dmitry Vyacheslavovich, Kostrykin Mikhail Yuryevich

Surgical treatment of complicated forms of portal hypertension at the present stage has undergone a number of changes. Also, a radical method of treating cirrhosis of the liver remains its transplantation. But despite the strong development of transplant technologies in the Russian Federation and the possibility of solving the legal side of the issue, patients are on the waiting list for a long time. The problem of helping patients with the threat of varicose esophageal-gastric bleeding remains relevant for many decades. Transjugular intrahepatic portosystem stent bypass surgery is performed in many centers in Russia, and it has become available to patients with cirrhosis of the liver due to the development of high-tech care. Gaining the pace and clinical experience of performing this operation, its possible complications also open up. Every year published a new work, devoted to the results of intrahepatic portosystemic shunts. The operation is supplemented by performing selective embolization of inflows to the esophageal and gastric varices. Our review of the literature is not based entirely on the classical form, it contains the latest ideas and prospects for helping patients with portal hypertension of cirrhotic origin.

Keywords:portal hypertension, liver cirrhosis, liver transplantation, transjugular intrahepatic portosystemic stent-shunting.