Portal vein complications after orthotopic liver transplantation: a report of 6 cases
- VernacularTitle:原位肝移植术后门静脉并发症的诊治
- Author:
Shuiming JIANG
;
Guangwen ZHOU
;
Chuan SHEN
;
Chenghong PENG
;
Hongwei LI
- Publication Type:Journal Article
- Keywords:
Liver transplantation;
Venous thrombosis;
Postoperative complications;
Hypertention,portal
- From:
Chinese Journal of General Surgery
2008;23(11):825-827
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the diagnosis and treatment of portal vein complications after orthotopic liver transplantation. Methods The clinical data of 173 patients receiving orthotopic liver transplantation in our hospital from 2002 to 2005 were retrospectively analyzed. Results The incidence of portal vein complications was 3.5% (6 cases). The incidence of portal vein stenosis was 1.2% and that of portal vein thrombosis was 2. 3%. Three cases had previously been treated for portal hypertension and three cases had had a history of portal vein thrombosis before liver transplantation. All the complicated patients recovered and were discharged after successful treatment. There was no complication related mortality. Conclusions A history of previous treatment for portal hypertension, portal vein thrombosis is a risk factor predisposing the patients to portal vein complications after orthotopic liver transplantation. Color Doppler sonography is a sensitive and specific method for monitoring the portal vein complications following orthotopic liver transplantation. The angiography of portal vein is essential for diagnosis of the complications. Thrombolysis treatment is unsatisfactory for advanced stage portal vein thrombosis. Balloon dilation and stenting are both a safe and effective management modality for simple portal vein stenosis.
