Abstract
Objective: To introduce a new surgical technique - cavoportal hemitransposition in liver transplantation. Methods: Since Tzakis first reported liver transplantation with cavoportal hemitransposition in the presence of diffuse portal vein thrombosis in 1998, five relevant research papers have been published, in which a total of 23 cases were treated. Results: Of the 23 cases, 11 underwent conventionally cavoportal anastomosis as an end-to-end anastomosis, 8 renoportal anastomosis, and 4 end-to-side anastomosis preceded by piggyback. Eight patients died after operation. Fifteen patients are still alive with normal liver and kinase function, with a longest follow-up of 37 months. They enjoy a normal life without dietary or other restriction. Conclusion: Portal vein thrombosis is no longer an absolute contraindication to liver transplantation. This new technique is useful and reliable for liver transplantation.
Original language | English (US) |
---|---|
Pages (from-to) | 202-205 |
Number of pages | 4 |
Journal | Hepatobiliary and Pancreatic Diseases International |
Volume | 2 |
Issue number | 2 |
State | Published - May 1 2003 |
Keywords
- Cavoportal hemitransposition
- Liver transplantation
- Portal vein thrombosis
ASJC Scopus subject areas
- Hepatology
- Gastroenterology