Surgical Treatment of Diuretic Resistant Ascites in Patients with Portal Hypertension
222 patients, who underwent surgery because of resistant ascitis are observed. 197 subjects had liver cirrhosis, 22 had Badd-Chiari syndrome and 2 had extrahepatic portal hypertension. There were 21 portocaval shunting, 69 lymphovenous shunting, 108 peritoneovenous shunting and 24 ductolysis performed. Good results (significant decrease of ascitis), satisfactory results (reduce of diuretic dosage) and unsatisfactory (no effect) were in 85, 55 and 82 cases respectively. After operation mortality was 9.9% (22 patients). Surgical treatment of resistant ascitis authors describe as efficient enough and indicate for some groups of patients with portal hypertension.