Extra-Anatomic Jump Graft from the Right Colic Vein: A Novel Technique to Manage Portal Vein Thrombosis in Liver Transplantation
Joint Authors
Tarantino, Giuseppe
Di Benedetto, Fabrizio
Olivieri, Tiziana
Pecchi, Annarita
Ballarin, Roberto
Paolo, Magistri
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-01-14
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
In the context of cirrhosis, portal vein thrombosis (PVT) is present in 2.1% to 26% of patients.
PVT is no longer considered an absolute contraindication for liver transplantation, and nowadays, surgical strategies depend on the extent of PVT.
Complete PVT is associated with higher morbidity rates and poor prognosis, while comparable long-term outcomes can be achieved as long as physiological portal inflow is restored.
Materials and Methods.
We report our experience with a 45-year-old patient undergoing liver transplant with a PVT (stage III-b).
To restore portal vein inflow to the liver, an extra-anatomic jump graft from the right colic vein with donor iliac vein interposition was constructed.
Results.
The patient recovered well, with a progressive improvement of the general conditions, and was finally discharged on p.o.d.
14.
No anastomotic defects were found at the postoperative CT scan 10 months after the surgery.
Conclusion.
Our technical innovation represents a valid and safe alternative to the cavoportal hemitransposition, providing a proper flow restoration and reproducing a physiological setting, while avoiding the complications related to the cavoportal shunt.
We believe that the reconstitution of liver portal inflow should be obtained with the most physiological approach possible and considering long-term liver function.
American Psychological Association (APA)
Paolo, Magistri& Tarantino, Giuseppe& Olivieri, Tiziana& Pecchi, Annarita& Ballarin, Roberto& Di Benedetto, Fabrizio. 2018. Extra-Anatomic Jump Graft from the Right Colic Vein: A Novel Technique to Manage Portal Vein Thrombosis in Liver Transplantation. Case Reports in Surgery،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1150480
Modern Language Association (MLA)
Paolo, Magistri…[et al.]. Extra-Anatomic Jump Graft from the Right Colic Vein: A Novel Technique to Manage Portal Vein Thrombosis in Liver Transplantation. Case Reports in Surgery No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1150480
American Medical Association (AMA)
Paolo, Magistri& Tarantino, Giuseppe& Olivieri, Tiziana& Pecchi, Annarita& Ballarin, Roberto& Di Benedetto, Fabrizio. Extra-Anatomic Jump Graft from the Right Colic Vein: A Novel Technique to Manage Portal Vein Thrombosis in Liver Transplantation. Case Reports in Surgery. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1150480
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150480