Management of complications after varicoportal anastomosis in liver transplantation

被引：3
作者：
Kniepeiss, Daniela [1 ]
Mueller, Helmut [1 ]
Wagner, Doris [1 ]
Iberer, Florian [1 ]
Tscheliessnigg, Karl-Heinz [1 ]
机构：
[1] Med Univ Graz, Dept Surg, Div Transplantat, A-8036 Graz, Austria
来源：
WIENER KLINISCHE WOCHENSCHRIFT | 2011年 / 123卷 / 11-12期
关键词：
Liver transplantation; portal vein thrombosis; intraoperative complication; ascites; renal failure; PORTAL-VEIN THROMBOSIS; CAVOPORTAL HEMITRANSPOSITION; EXPERIENCE;
D O I：
10.1007/s00508-011-1589-0
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The presence of portal vein thrombosis is a potential limitation for liver transplantation. An intraoperative diagnosis is linked to extensive surgical treatment and massive postoperative complications and mortality. We present a surgical less risky method for the treatment of intraoperatively diagnosed portal and mesenteric vein thrombosis that served as salvage therapy for a patient who underwent liver transplantation in our centre. Postoperative complications were ascites and renal failure. Persistent ascites required repeated paracentesis during the first month after liver transplantation but medical treatment sufficed thereafter. Moderate renal failure as defined by the K/DOQI-guidelines improved gradually and dialysis was never indicated. Six months after transplantation, the patient had normal liver function and adequate renal function.
引用
收藏
页码：388 / 389
页数：2
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