Renoportal Anastomosis in Living Donor Liver Transplantation
Renoportal Anastomosis in Living Donor Liver Transplantation
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活体肝移植中的肾门静脉吻合术
DOI：
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发表时间：
2011
期刊：
影响因子：
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通讯作者：
Y. Han
中科院分区：
文献类型：
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作者：
Joo Dong Kim;D. Choi;Y. Han
终末期肝病常伴有门静脉血栓形成（PVT）和大的自发性脾肾分流（SRS）。近年来，肝移植术中自发性脾肾分流的肾门静脉吻合术（RP-A）被报道为门静脉血栓形成伴SRS患者门静脉重建的有效方法。在这里，我们报告一例成功的RP-A活体肝移植（LDLT）。46年？摘要一位老年女性，因自发性脾肾分流及门静脉血栓扩散至上级肠系膜静脉而接受活体肝移植。在手术中，侧端肾门静脉吻合术是用插入尸体髂静脉移植。术中和术后多普勒超声检查证实门静脉血流量充足。她恢复良好，移植肾功能和肾功能正常。对于脾肾分流较大且扩张性门静脉血栓形成至上级肠系膜静脉的患者，肾门静脉吻合术是PV血栓切除术中有效且安全的技术。
End-stage liver disease is often accompanied by portal vein thrombosis (PVT) and large spontaneous splenorenal shunts (SRS). Recently, renoportal anastomosis (RP-A) of spontaneous splenorenal shunts in liver transplantation was reported as an effective method of portal vein reconstruction in cases of PVT with SRS. Here we report a successful case of RP-A in living donor liver transplantation (LDLT). A 46-year?old female with a large spontaneous splenorenal shunt and a portal vein thrombosis propagated to the superior mesenteric vein underwent living donor liver transplantation. At the operation, a side-to-end renoportal anastomosis was done using an interposing cadaveric iliac vein graft. Adequate portal venous blood flow was demonstrated by intraoperative and postoperative Doppler ultrasound studies. She has recovered well with normal graft function and renal function. Renoportal anastomosis for patients with large splenorenal shunts and expansive portal vein thrombosis to the superior mesenteric vein can be an effective and safe technique in patients PV thrombectomy.