Transabdominal pericardial anastomosis of suprahepatic vena cava and right atrium in liver transplantation for Budd-Chiari syndrome complicated with liver cancer: a case report with surgical video
10.3969/j.issn.1674-7445.2023116
- VernacularTitle:经腹腔心包路径肝上下腔静脉与右心房吻合肝移植治疗布-加综合征合并肝癌1例附手术视频
- Author:
Zhenghui YE
1
;
Hongchuan ZHAO
1
;
Xiaoping GENG
1
;
Fan HUANG
1
;
Guobin WANG
1
;
Wei WANG
1
;
Xiaojun YU
1
;
Ruolin WU
1
;
Liujin HOU
1
;
Xinghua ZHANG
1
;
Zhixiang HE
1
Author Information
1. General Surgery and Organ Transplantation Center, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
- Publication Type:OriginalArticle
- Keywords:
Budd-Chiari syndrome;
Liver transplantation;
Liver cancer;
Transabdominal pericardial pathway;
Suprahepatic vena cava;
Right atrium;
Hepatic artery reconstruction;
Cirrhosis
- From:
Organ Transplantation
2023;14(6):855-860
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize clinical experience of transabdominal pericardial anastomosis of suprahepatic vena cava of the donor and right atrium of the recipient in liver transplantation for Budd-Chiari syndrome (BCS) complicated with liver cancer. Methods Clinical data of a BCS patient complicated with liver cancer undergoing transabdominal pericardial anastomosis of suprahepatic vena cava and right atrium in liver transplantation were retrospectively analyzed. Results The hepatic vein and suprahepatic vena cava were partially occluded in the patient. Liver transplantation was completed by transabdominal pericardial anastomosis of suprahepatic vena cava and right atrium with beating-heart. In addition, due to pathological changes of the recipient's hepatic artery, splenic artery of the recipient was cut off, distal ligation was performed, and the proximal end was reversed and anastomosed with the common hepatic artery of the donor liver, and the reconstruction of hepatic artery was completed. The surgery was successfully performed. At approximately postoperative 1 week, the function of the liver allograft was gradually restored to normal, and no major complications occurred. The patient was discharged at postoperative 25 d. No signs of BCS recurrence was reported after 8-month follow-up. Conclusions It is safe and feasible to treat BCS by liver transplantation with transabdominal pericardial anastomosis of suprahepatic vena cava and right atrium. BCS patients complicated with liver cancer obtain favorable prognosis.
