Anastomosis between graft portal vein and splanchnic varicose vein in patients with portal vein and superior mesenteric vein thrombosis during liver transplantation
- VernacularTitle:肝移植中门静脉-内脏曲张静脉吻合在门静脉机化血栓患者的应用
- Author:
Fengdong WU
;
Xinguo CHEN
;
Yunjin ZANG
;
Zhaoyang LI
- Publication Type:Journal Article
- Keywords:
Liver transplantation?Portal vein thrombosis?Varicose vein
- From:
Chinese Journal of Current Advances in General Surgery
1999;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the management in patients with complete portal vein (PV) and superior mesenteric vein (SMV) thrombosis during liver transplantation (LT). Methods:Seven patients with complete PV and SMV thrombosis undergone LT, The reconstruction of PV were the anastomosis PV to varicose coronary vein in 3 cases, PV to varicose vein near hilus of spleen in 2 case, PV to varicose vein in front of common bile duct in 1 case, PV to varicose right gastro-epiploic vein in 1 case. Results:All patients undergone successful LT. One case died 7 days after the transplantation of multi-organic nonfunction, but the PV was patent. One case was found stenosis at the anastomosis 6 months after LT, and he was cured by percutaneous transhepatic portography and stent placement. Other patients were followed-up12~22 months, the PVs were patent, and had sufficient blood supply, and they have normal liver and kidney functions now. Conclusion :The anastomosis between graft portal vein and the splanchnic varicose vein may be a applicable choice for the patients with complete PV and SMV thrombosis during LT.
