Cargando…
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...
Autores principales: | , , |
---|---|
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 |
_version_ | 1782480766268080128 |
---|---|
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. |
format | Online Article Text |
id | pubmed-4091443 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | The Korean Surgical Society |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT kimjoodong theparacholedochalveinafeasibleoptionasportalinflowinlivingdonorlivertransplantation AT choidonglak theparacholedochalveinafeasibleoptionasportalinflowinlivingdonorlivertransplantation AT hanyoungseok theparacholedochalveinafeasibleoptionasportalinflowinlivingdonorlivertransplantation AT kimjoodong paracholedochalveinafeasibleoptionasportalinflowinlivingdonorlivertransplantation AT choidonglak paracholedochalveinafeasibleoptionasportalinflowinlivingdonorlivertransplantation AT hanyoungseok paracholedochalveinafeasibleoptionasportalinflowinlivingdonorlivertransplantation |