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Репортализация печени при внепеченочной портальной гипертензии

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Обзор литературы посвящен изучению исторических аспектов и современному состоянию хирургического лечения при внепеченочной портальной гипертензии у детей и взрослых. Проведен анализ отечественной и англоязычной научной литературы по хирургическому восстановлению гепатопетального кровотока при внепеченочной портальной гипертензии. Обнаружены пионерские исследования отечественных авторов, которые были опубликованы раньше работ иностранных исследователей и подтверждают отечественный приоритет в изучении проблемы. Установлено, что роль восстановления гепатопетального кровотока при внепеченочной портальной гипертензии у взрослых значительно меньше изучена, чем у детей. Необходимо продолжить накопление клинического материала для определения целесообразности подобных вмешательств у взрослых.

Ключевые слова:
печень, внепеченочная портальная гипертензия, мезопортальное шунтирование, репортализация

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Liver reportalization in extrahepatic portal hypertension

The study involved literature review of history and current state of surgical treatment in extrahepatic portal hypertension in children and adults. The author analyzed Russian and foreign publications on surgical repair of hepatopetal blood flow in extrahepatic portal hypertension. The issue is a high priority in Russia, which is confirmed by the fact that the author found out the pioneer studies of Russian authors, which were published earlier than the works of foreign researchers. It was found that the role of hepatopetal blood flow restoration in extrahepatic portal hypertension in adults had been much less studied than in children. More clinical material is to be gathered to determine the feasibility of such interventions in adults.

Keywords:
liver, extrahepatic portal hypertension, mesoportal bypass, reportalization