|
|
|
| Cavoportal hemitransposition in liver transplantation: a new technique |
| Peng Yan and Lu-Nan Yan |
Pittsburgh, USA and Chengdu, China
From the Department of Surgery, University of Pittsburgh, School of Medicine, Pittsburgh, PA 15261, USA (Yan P); Department of Surgery, First Hospital of Chengdu, Chengdu 610041, China (Yan P); Department of Surgery, West China Hospital, Sichuan University, Chengdu 610041, China (Yan LN)
Correspondence: Peng Yan, MD (Tel: 1-412-683-8624; Email: yanpeng@hotmail.com) or Lu-Nan Yan, MD (Tel: 86-28-85422476; Fax: 86-28-85423724; Email: yanlunan@hotmail.com) |
|
|
|
|
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.
|
|
|
|
|
|
|
|
|
2003, Vol. 2 
