Title: Management experience of portal vein thrombosis in 77 liver transplantation cases
Abstract:Objective To investigate the surgical options for the management of portal vein thrombosis(PVT) during liver transplantation and its impact on the outcome of patients.Methods 598 cases of liver transp...Objective To investigate the surgical options for the management of portal vein thrombosis(PVT) during liver transplantation and its impact on the outcome of patients.Methods 598 cases of liver transplantation were analyzed retrospectively.PVT occurred in 77 patients,including 39 of grade Ⅰ,24 of grade Ⅱ,12 of grade Ⅲ and 2 of grade Ⅳ.Simple thrombectomy or thrombus-extraction was performed in grade Ⅰ and Ⅱ.12 patients with grade Ⅲ received thrombus-extraction or using the donor iliac vein to act as a bridge between the donor portal vein and host superior mesenteric vein.Two cases of grade Ⅳ received a modified cavo-portal hemitransposition.Results Liver function had a good recover and the perioperative mortality was 6.3%(4/63)in grade Ⅰ and Ⅱ.In grade Ⅲ,5 cases received thrombus-extraction had a normal liver function after transplantation and no death was found perioperatively(0/5).2 cases among the other 7 cases using portal vein reconstruction had bad liver function and died.The liver function recovered well after transplantation and there was no death in grade Ⅳ.Conclusion PVT is not a contraindication for liver transplantation.Good results can be obtained by applying reasonable operative procedures individually.Read More
Publication Year: 2007
Publication Date: 2007-01-01
Language: en
Type: article
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