Liver transplantation for a hepatic cancer patient with complete situs inversus and management of complications
10.3724/SP.J.1008.2008.00606
- Author:
Ning YANG
1
Author Information
1. Department of 2nd Biliary Tract Surgery
- Publication Type:Journal Article
- Keywords:
Complication;
Liver transplantation;
Situs inversus
- From:
Academic Journal of Second Military Medical University
2010;29(6):606-608
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the surgical techniques of liver transplantation (LT) for a hepatic cancer patient with complete situs inversus (CSI) and to discuss the post-operation management of complications. Methods: A patient with CSI suffering from hepatocelluar carcinoma underwent LT in June 2005. LT was performed orthotopically using the clockwise 90° rotation technique with all vessels end-to-end anastomized. The post-operation complications were actively managed and the patient was followed up. Results: Post-operatively, the patient recovered well without major complications, except for a bile duct anastomotic stenosis during the 5th post-operative month, which was dealt with endoscopic retrograde biliary drainage and percutaneous transhepatic cholangial drainage. Liver function was stable and no tumor recurrence was found during a follow-up period of 30 months. Conclusion: It is feasible to perform LT in patients with CSI. Bile duct anastomotic stenosis is one of the most important complications after LT, which can have a good long-term prognosis if promptly managed.
