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The paracholedochal vein: a feasible option as portal inflow in living donor liver transplantation

Extensive thrombosis of the portal and splenomesenteric veins combined with cavernous transformation of the portal vein (CTPV) has been considered to be a contraindication for living donor liver transplantation (LDLT) due to technical difficulties and perioperative risks. In recent years, several su...

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Autores principales: Kim, Joo Dong, Choi, Dong Lak, Han, Young Seok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Surgical Society 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4091443/
https://www.ncbi.nlm.nih.gov/pubmed/25025028
http://dx.doi.org/10.4174/astr.2014.87.1.47
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author Kim, Joo Dong
Choi, Dong Lak
Han, Young Seok
author_facet Kim, Joo Dong
Choi, Dong Lak
Han, Young Seok
author_sort Kim, Joo Dong
collection PubMed
description Extensive thrombosis of the portal and splenomesenteric veins combined with cavernous transformation of the portal vein (CTPV) has been considered to be a contraindication for living donor liver transplantation (LDLT) due to technical difficulties and perioperative risks. In recent years, several surgical innovations including cavoportal hemitransposition, renoportal anastomosis, and portal arterialization have been introduced to overcome diffuse portal vein thrombosis (PVT) and CTPV, but their outcomes were unsatisfactory with significant morbidity and mortality. Herein, we report two successful cases of adult LDLT in diffuse PVT with CTPV managed using the paracholedochal vein as portal inflow to the graft.
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spelling pubmed-40914432014-07-14 The paracholedochal vein: a feasible option as portal inflow in living donor liver transplantation Kim, Joo Dong Choi, Dong Lak Han, Young Seok Ann Surg Treat Res Technical Advance Extensive thrombosis of the portal and splenomesenteric veins combined with cavernous transformation of the portal vein (CTPV) has been considered to be a contraindication for living donor liver transplantation (LDLT) due to technical difficulties and perioperative risks. In recent years, several surgical innovations including cavoportal hemitransposition, renoportal anastomosis, and portal arterialization have been introduced to overcome diffuse portal vein thrombosis (PVT) and CTPV, but their outcomes were unsatisfactory with significant morbidity and mortality. Herein, we report two successful cases of adult LDLT in diffuse PVT with CTPV managed using the paracholedochal vein as portal inflow to the graft. The Korean Surgical Society 2014-07 2014-06-24 /pmc/articles/PMC4091443/ /pubmed/25025028 http://dx.doi.org/10.4174/astr.2014.87.1.47 Text en Copyright © 2014, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/3.0/ Annals of Surgical Treatment and Research is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Technical Advance
Kim, Joo Dong
Choi, Dong Lak
Han, Young Seok
The paracholedochal vein: a feasible option as portal inflow in living donor liver transplantation
title The paracholedochal vein: a feasible option as portal inflow in living donor liver transplantation
title_full The paracholedochal vein: a feasible option as portal inflow in living donor liver transplantation
title_fullStr The paracholedochal vein: a feasible option as portal inflow in living donor liver transplantation
title_full_unstemmed The paracholedochal vein: a feasible option as portal inflow in living donor liver transplantation
title_short The paracholedochal vein: a feasible option as portal inflow in living donor liver transplantation
title_sort paracholedochal vein: a feasible option as portal inflow in living donor liver transplantation
topic Technical Advance
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4091443/
https://www.ncbi.nlm.nih.gov/pubmed/25025028
http://dx.doi.org/10.4174/astr.2014.87.1.47
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