Cavoportal hemitransposition in liver transplantation: A new technique

Peng Yan, Lu Nan Yan

Research output: Contribution to journalArticle

7 Scopus citations

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 languageEnglish (US)
Pages (from-to)202-205
Number of pages4
JournalHepatobiliary and Pancreatic Diseases International
Volume2
Issue number2
StatePublished - May 1 2003

Keywords

  • Cavoportal hemitransposition
  • Liver transplantation
  • Portal vein thrombosis

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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