Liver transplantation in the presence of portal vein thrombosis: Report from a single center

被引：30

作者：

Orlando, G ^{[1
]}

De Luca, L ^{[1
]}

Toti, L ^{[1
]}

Zazza, S ^{[1
]}

Angelico, M ^{[1
]}

Casciani, CU ^{[1
]}

Tisone, G ^{[1
]}

机构：

[1] Univ Roma Tor Vergata, Osped S Eugenio, Clin Chirurg, I-00144 Rome, Italy

来源：

TRANSPLANTATION PROCEEDINGS | 2004年 / 36卷 / 01期

关键词：

D O I：

10.1016/j.transproceed.2003.11.014

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Portal vein thrombosis (PVT) is a frequent finding in liver transplantation, the management of which depends mainly on its extent. In cases of mild to moderate PVT, a low dissection of the portal trunk, a jump graft, or direct implantation of graft portal vein into large venous collaterals or thrombectomy offer alternatives. For severe PVT anecdotal reports suggest that cavoportal hemitransposition, portal arterialization, or combined liver and intestine transplantation may be attempted, although the results to date are not satisfactory. When extensive perivenous and venous inflammatory changes reach the infrapancreatic region, liver transplantation probably should not be performed due to the high mortality rate.

引用

页码：199 / 202

页数：4

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