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  • Title: Cavoportal hemitransposition in liver transplantation: a new technique.
    Author: Yan P, Yan LN.
    Journal: Hepatobiliary Pancreat Dis Int; 2003 May; 2(2):202-5. PubMed ID: 14599969.
    Abstract:
    OBJECTIVE: To introduce a new surgical technique--cavoportal hemitransposition in liver transplantation. METHODS: Since Tzakis first reported liver transplantation with cavoportal hemitransposition in the presence of diffuse portal vein thrombosis in 1998, five relevant research papers have been published, in which a total of 23 cases were treated. RESULTS: Of the 23 cases, 11 underwent conventionally cavoportal anastomosis as an end-to-end anastomosis, 8 renoportal anastomosis, and 4 end-to-side anastomosis preceded by piggyback. Eight patients died after operation. Fifteen patients are still alive with normal liver and kinase function, with a longest follow-up of 37 months. They enjoy a normal life without dietary or other restriction. CONCLUSION: Portal vein thrombosis is no longer an absolute contraindication to liver transplantation. This new technique is useful and reliable for liver transplantation.
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