The document discusses the proximal splenorenal shunt procedure for patients with liver cirrhosis and portal hypertension combined with hypersplenism. The procedure involves creating a shunt from the splenic vein to the left renal vein to decompress the portal system. It is indicated for select patients as an alternative to other procedures to prevent variceal bleeding while removing the spleen. However, it carries risks of hepatic encephalopathy, worsening liver function, and is not suitable for future transplantation. The authors' experience with 17 patients who underwent this procedure is presented, along with postoperative outcomes.

1. PROXIMAL SPLENORENAL SHUNT FOR PORTAL HYPERTENSION COMBINED WITH HYPERSPLENISM IN LIVER CIRRHOSIS Authors: I.Timaru, I.P.Oprea, C.Musat, M.Tanase, A.Zaciu, N.Tudor, C.Dutu, R.Nica THE CENTRAL CLINICAL EMERGENCY MILITARY HOSPITAL The 2 nd Surgical Clinic