Moreno González E, García García I, Gómez Sanz R, Riaño Carrera D, González Pinto I, Loinaz Segurola C, Trombatore G, Bercedo Martínez J, Pérez Cerdá F, Maffettone V
Hospital 12 de Octubre, Madrid.
Minerva Chir. 1990 Dec;45(23-24):1415-9.
One hundred and thirty-eight transplants were performed between April 1986 and June 1990 in 116 patients of whom 9 (7.75%) were affected by liver cirrhosis complicated by portal vein thrombosis. Occlusion of the vascular lumen was total in 3 cases, semitotal in 1 case and the percentage of obstruction ranged between 25% and 75% in the remaining patients. Venous dissection and thrombectomy were performed in 6 cases and simple thrombectomy in 3 cases in order to obtain a satisfactory blood flow. Anastomosis was effected using the spleno-mesenteric confluence in 2 cases and the portal vein itself in other patients. Recurrent thrombosis occurred in the first 4 patients in the series, but it was only fatal in 2 cases. The paper analyses the data obtained from the study and in conclusion confirms the use of transplant in cirrhotic patients with portal vein thrombosis.
1986年4月至1990年6月期间，对116例患者实施了138例移植手术，其中9例（7.75%）患有肝硬化合并门静脉血栓形成。3例血管腔完全闭塞，1例部分闭塞，其余患者的阻塞百分比在25%至75%之间。为了获得满意的血流，6例行静脉剥离和血栓切除术，3例行单纯血栓切除术。2例利用脾-肠系膜汇合处进行吻合，其他患者则利用门静脉本身进行吻合。该系列的前4例患者发生了复发性血栓形成，但仅2例致死。本文分析了该研究获得的数据，最后证实了移植手术可用于患有门静脉血栓形成的肝硬化患者。
