Postoperative complications after liver transplantation with cavoportal hemitransposition.
BACKGROUND
Extensive portal vein thrombosis (PVT) in the recipient of liver transplantation increases postoperative morbidity and mortality. Cavoportal hemitransposition (CPHT) has been described as a salvage technique in the presence of extensive portal and superior mesenteric venous thrombosis.


METHODS
We report three patients who underwent this procedure, review the literature, and discuss the postoperative complications of CPHT.


RESULTS
Fifty-six patients with extensive PVT who underwent CPHT have been reported. Seventeen patients have died to date. The common complications of CPHT were ascites (55.4%), renal insufficiency (48.2%), variceal bleeding (30.4%), or thrombosis of cavoportal anastomosis or portal branch (14.3%).


CONCLUSIONS
CPHT is a salvage measure to maintain the patency of portal inflow to the liver graft in the presence of extensive PVT.
Department of Hepatobiliary Surgery, Fujian Provincial Hospital, Fuzhou 350001, China.
Mao-Lin
ML
Yan
Yong
Y
Zeng
Bo
B
Li
Ming-Qing
MQ
Xu
Tian-Fu
TF
Wen
Wen-Tao
WT
Wang
Jia-Yin
JY
Yang
Lu-Nan
LN
Yan
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D000925:Anticoagulants / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008099:Liver / Q000098:blood supply*; D008103:Liver Cirrhosis / Q000601:surgery; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000601:surgery*; D011183:Postoperative Complications; D014656:Vascular Surgical Procedures / Q000379:methods*; D014682:Vena Cava, Inferior / Q000601:surgery*; D020246:Venous Thrombosis / Q000209:etiology* / Q000517:prevention & control
D000925:Anticoagulants