Postoperative complications after liver transplantation with cavoportal hemitransposition
Yan, M.-L.; Zeng, Y.; Li, B.; Xu, M.-Q.; Wen, T.-F.; Wang, W.-T.; Yang, J.-Y.; Yan, L.-N.
Hepatobiliary and Pancreatic Diseases International Hbpd Int 7(3): 322-324
2008
ISSN/ISBN: 1499-3872 PMID: 18522891 Document Number: 627840
Extensive portal vein thrombosis (PVT) in the recipient of liver transplantation increases postoperative morbidity and mortality. Cavoportal hemitransposition (CPHT) has been described as a salvage technique in the presence of extensive portal and superior mesenteric venous thrombosis. We report three patients who underwent this procedure, review the literature, and discuss the postoperative complications of CPHT. Fifty-six patients with extensive PVT who underwent CPHT have been reported. Seventeen patients have died to date. The common complications of CPHT were ascites (55.4%), renal insufficiency (48.2%), variceal bleeding (30.4%), or thrombosis of cavoportal anastomosis or portal branch (14.3%). CPHT is a salvage measure to maintain the patency of portal inflow to the liver graft in the presence of extensive PVT.