Alternative treatment for gallbladder stones in portal venous thrombosis.
OBJECTIVE
Cholecystectomy for treatment of gallbladder stones in patients with portal vein thrombosis can be a hazardous procedure. Dissection into an area of thin-walled collateral vessels can trigger troublesome bleeding and consequent blood coagulation disorders.


METHODS
In order to avoid dissection, cholecysto-jejunostomy was used as the treatment of choice in three patients with symptomatic gallbladder stones and portal vein thrombosis.


RESULTS
Surgical procedure was uneventful, blood or plasma transfusions were not required either at surgery or afterwards. Pre- and postoperative hematocrit evaluations showed no difference, as well as liver function tests. The procedure was well tolerated and patients were discharged from day 5 to 7. Follow-up ranged from 2 to 3 years, no biliary complications were found during this period.


CONCLUSIONS
Choleysto-jejunostomy is a safe procedure and can be used as an effective treatment of symptomatic gallbladder stones in patients with portal vein thrombosis.
Gastrointestinal Surgery, Division of Biliopancreatic Surgery, University of S. Paulo Medical School, S. Paulo, Brazil. viasbiliares.pancreas@hcnet.usp.br
Sonia
S
Penteado
Marcel C
MC
Machado
José Eduardo M
JE
Cunha
Jose
J
Jukemura
André L
AL
Montagnini
Telesforo
T
Bacchella
D000328:Adult; D001662:Biliary Tract Surgical Procedures / Q000379:methods*; D042882:Gallstones / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011169:Portal Vein; D020246:Venous Thrombosis / Q000150:complications*