Poultsides George A, Lewis W Cannon, Feld Robert, Walters David L, Cherry David A, Ruby Steven T
Department of Surgery, University of Connecticut School of Medicine, Saint Francis Hospital and Medical Center, Farmington, Connecticut 06030-3955, USA.
Am Surg. 2005 Oct;71(10):856-60.
Portal vein thrombosis is a rare but well-reported complication after laparoscopic surgery. We present a case of portomesenteric venous thrombosis that occurred 8 days after a laparoscopic-assisted right hemicolectomy. Systemic anticoagulation failed to improve symptoms. The early postoperative state precluded the use of transarterial thrombolytic therapy. Transjugular intrahepatic catheter-directed infusion of urokinase into the superior mesenteric vein resulted in clearance of thrombus and resolution of symptoms. The published data on laparoscopy-induced splanchnic venous thrombosis and transjugular intrahepatic intramesenteric thrombolysis are discussed.
门静脉血栓形成是腹腔镜手术后一种罕见但有充分报道的并发症。我们报告一例腹腔镜辅助右半结肠切除术后8天发生的门静脉肠系膜静脉血栓形成病例。全身抗凝治疗未能改善症状。术后早期状态排除了经动脉溶栓治疗的应用。经颈静脉肝内导管将尿激酶注入肠系膜上静脉导致血栓清除和症状缓解。本文讨论了关于腹腔镜引起的内脏静脉血栓形成和经颈静脉肝内肠系膜内溶栓的已发表数据。
