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Usefulness of Artificial Jump Graft to Portal Vein Thrombosis in Deceased Donor Liver Transplantation

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초록

Severe portal vein thrombosis (PVT) is often considered a relative contraindicationfor living donor liver transplantation due to high associated risks and morbidity. Meanwhile, improvement in operative techniques, resulting in higher success rates has removed PVT from the list of contraindications in deceased donor liver transplantation (DDLT). In this report, we describe a surgical technique for DDLT using polytetrafluoroethylene graft from the inferior mesenteric vein for portal inflowin patient with portomesenteric thrombosis.

Abstract

Severe portal vein thrombosis (PVT) is often considered a relative contraindicationfor living donor liver transplantation due to high associated risks and morbidity. Meanwhile, improvement in operative techniques, resulting in higher success rates has removed PVT from the list of contraindications in deceased donor liver transplantation (DDLT). In this report, we describe a surgical technique for DDLT using polytetrafluoroethylene graft from the inferior mesenteric vein for portal inflowin patient with portomesenteric thrombosis.

참고문헌 (12)

  1. Kim SJ, "Clinical analysis of living donor liver transplantation in patients with portal vein thrombosis", Clin Transplant, 25, pp.111~118 (2011)
  2. Lladó L, "Management of portal vein thrombosis in liver transplantation: influence on morbidity and mortality", Clin Transplant, 21, pp.716~721 (2007)
  3. Iyer SG, "Successful living donor liver transplantation in portomesenteric thrombosis", Am J Transplant, 10, pp.1483~1485 (2010)
  4. Wu TH, "Clinical analysis and strategy for liver transplantation in patients with pre-existing portal vein thrombosis", Chang Gung Med J, 34, pp.426~434 (2011)
  5. Yerdel MA, "Portal vein thrombosis in adults undergoing liver transplantation: risk factors, screening, management, and outcome", Transplantation, 69, pp.1873~1881 (2000)
  6. Sugawara Y, "Portal vein reconstruction in adult living donor liver transplantation using cryopreserved vein grafts", Liver Transpl, 12, pp.1233~1236 (2006)
  7. Hwang S, "Usability of ringed polytetrafluoroethylene grafts for middle hepatic vein reconstruction during living donor liver transplantation", Liver Transpl, 18, pp.955~965 (2012)
  8. Chen TH, "Polytetrafluoroethylene patch venoplasty for outflow reconstruction in living donor liver transplantation: two case reports", Transplant Proc, 40, pp.2529~2530 (2008)
  9. Pomposelli JJ, "Evolution of anterior segment reconstruction after live donor adult liver transplantation: a single-center experience", Clin Transplant, 26, pp.470~475 (2012)
  10. Ghinolfi D, "The beneficial impact of temporary porto-caval shunt in orthotopic liver transplantation: a single center analysis", Transpl Int, 24, pp.243~250 (2011)
  11. Pratschke S, "Temporary intraoperative porto-caval shunt: useless or beneficial in piggy back liver transplantation?", Transpl Int, 26, pp.90~98 (2013)
  12. Kobayashi T, "The inferior mesenteric vein to the left gonadal vein shunt for gastroesophageal varices and extrahepatic portal vein thrombosis after living donor liver transplantation: a case report", Transplant Proc, 44, pp.591~593 (2012)

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