采用腔门静脉转位术的肝移植：治疗完全性内脏静脉血栓形成患者的有效方法。

Liver transplantation using cavoportal transposition: an effective treatment in patients with complete splanchnic venous thrombosis.

作者信息

Ceulemans B, Aerts R, Monbaliu D, Coosemans W, Verslype C, Van Steenbergen W, Yap P, Fevery J, Nevens F, Pirenne J

机构信息

Abdominal Transplant Surgery, University Hospitals Leuven, Leuven, Belgium.

出版信息

Transplant Proc. 2005 Mar;37(2):1112-4. doi: 10.1016/j.transproceed.2004.12.047.

DOI:10.1016/j.transproceed.2004.12.047

PMID:15848638

Abstract

Complete venous thrombosis of the splanchnic system remains a major challenge in liver transplantation surgery. Some of these patients have been treated successfully by multivisceral transplantation. Cavoportal transposition is another alternative to treat these patients. We reviewed our single-center experience with this technique. Five patients with operatively confirmed complete splanchnic thrombosis were transplanted with the cava portal transposition technique. All survived the procedure; 60% survived long term. This technique is a useful salvage procedure in moribund patients with diffuse portal thrombosis who would otherwise rapidly succumb.

摘要

内脏系统完全性静脉血栓形成仍然是肝移植手术中的一项重大挑战。其中一些患者已通过多脏器移植成功治疗。腔门静脉转位是治疗这些患者的另一种选择。我们回顾了我们单中心使用该技术的经验。5例经手术证实为完全性内脏血栓形成的患者接受了腔门静脉转位技术移植。所有患者均存活下来；60%长期存活。对于患有弥漫性门静脉血栓形成、否则会迅速死亡的濒死患者，该技术是一种有用的挽救手术。