Application of modified eversion thrombectomy for portal vein thrombosis in patients undergoing liver transplantation
10.3760/cma.j.issn.0254-1785.2018.12.006
- VernacularTitle:改良外翻式门静脉血栓切除术在肝移植术中的应用
- Author:
Cheng PAN
1
;
Qingjun GUO
;
Wentao JIANG
;
Dazhi TIAN
;
Honghai WANG
;
Chiyi CHEN
;
Zhongyang SHEN
Author Information
1. 300192,天津市第一中心医院器官移植中心
- Keywords:
Liver transplantation;
Thrombosis of portal vein;
Thrombectomy
- From:
Chinese Journal of Organ Transplantation
2018;39(12):730-733
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the modified eversion thrombectomy for portal vein thrombosis (PVT) in liver transplantation and the curative effectiveness.Methods All 613 cases complicated with PVT preoperation were given modified eversion thrombectomy,and there were 179,236,182 and 16 cases of PVT Yerdel grade Ⅰ,Ⅱ,Ⅲ and Ⅳ respectively.Results All 415 PVT patients of grade Ⅰ and Ⅱ received modified eversion thrombectomy and success rate was 100％.Among 182 PVT patients of grade Ⅲ received modified eversion thrombectomy (success in 176 cases,and failure in 6 cases).Sixteen PVT patients of grade Ⅳ received modified eversion thrombectomy (success in 13 cases and failure in 3 cases).The 1-year survival rate of PVT patients after surgical operation was 93.6％,and that of non-PVT patients was 94.6％ (P＞0.05).Conclusion Modified eversion thrombectomy could be adopted in PVT patients regarding to different Yerdel grades.
