Pancreas transplantation with distal splenic arteriovenous anastomosis to prevent thrombosis: a report of two cases
10.3760/cma.j.cn421203-20241127-00235
- VernacularTitle:移植胰腺远端脾动静脉吻合预防血栓形成2例
- Author:
Xunan TONG
1
;
Zhenghua WU
;
Hua CHEN
;
Fanjun ZENG
;
Zhenxing WANG
Author Information
1. 山西白求恩医院（山西医学科学院 同济山西医院），山西医科大学第三医院器官移植中心，太原 030032
- Publication Type:Journal Article
- Keywords:
Pancreas transplantation;
Simultaneous pancreas and kidney transplantation;
Splenic arteriovenous anastomosis;
Splenic vein thrombosis
- From:
Chinese Journal of Organ Transplantation
2025;46(10):731-733
- CountryChina
- Language:Chinese
-
Abstract:
Venous thrombosis is one of the common and serious complications after pancreas transplantation. The organ transplantation center of Shanxi Bethune hospital innovatively improved the previous surgical method of ligating the splenic artery and splenic vein to perform end-to-end anastomosis between the splenic artery and splenic vein in the tail of the pancreas and retain the effective diameter of the splenic artery of about 2 mm to increase the blood flow of splenic vein to prevent thrombosis. The center has successfully completed 2 cases, and the operation effect is good. Postoperative monitoring of abdominal vascular CT angiography showed that the splenic vein reflux was unobstructed. This operation can effectively increase the blood flow of splenic vein and reduce the risk of thrombosis.
