Abdelrazeq Ayman S, Dwaik Maged A, Aldoori Munther I, Lund Jonathan N, Leveson Stephen H
Department of Surgery, Augusta Victoria Hospital, Jerusalem.
J Laparoendosc Adv Surg Tech A. 2006 Feb;16(1):9-14. doi: 10.1089/lap.2006.16.9.
Several cases of portal vein thrombosis following laparoscopic procedures have been reported over the past few years. To date, no formal description of this phenomenon has been provided. In this paper, we summarize and analyze the features of the 4 reported cases to date as well as a fifth case encountered at our institution. The probable causes of this complication include changes in coagulation status, splanchnic hemodynamics, and portal venous blood flow, all of which may be related to carbon dioxide absorption and increased intra-abdominal pressure. The recognition of this phenomenon and its management are discussed. A review of the relevant literature is provided.
在过去几年中，已有数例腹腔镜手术后发生门静脉血栓形成的病例报道。迄今为止，尚未对这一现象进行正式描述。在本文中，我们总结并分析了迄今报道的4例病例以及我们机构遇到的第5例病例的特征。这种并发症的可能原因包括凝血状态、内脏血流动力学和门静脉血流的变化，所有这些都可能与二氧化碳吸收和腹内压升高有关。本文讨论了对这一现象的认识及其处理方法，并提供了相关文献综述。
