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| Postoperative complications after liver transplantation with cavoportal hemitransposition |
| Mao-Lin Yan, Yong Zeng, Bo Li, Ming-Qing Xu, Tian-Fu Wen, Wen-Tao Wang, Jia-Yin Yang and Lu-Nan Yan |
Chengdu, China
Author Affiliations: Department of Hepatobiliary Surgery, Fujian Provincial Hospital, Fuzhou 350001, China (Yan ML), Liver Transplantation Group, Transplantation Center, West China Hospital, Sichuan University, Chengdu 610041, China (Zeng Y, Li B, Xu MQ, Wen TF, Wang WT, Yang JY and Yan LN)
Corresponding Author: Lu-Nan Yan, MD, Liver Transplantation Group, Transplantation Center, West China Hospital, Sichuan University, Chengdu 610041, China (Tel: 86-28-85422476; Fax: 86-28-85422072; Email: yanlunan@hotmail.com) |
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Abstract BACKGROUND: 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.
METHODS: We report three patients who underwent this procedure, review the literature, and discuss the postoperative complications of CPHT.
RESULTS: 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%).
CONCLUSION: CPHT is a salvage measure to maintain the patency of portal inflow to the liver graft in the presence of extensive PVT.
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2008, Vol. 7 
