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Title: Postoperative complications after liver transplantation with cavoportal hemitransposition. Author: Yan ML, Zeng Y, Li B, Xu MQ, Wen TF, Wang WT, Yang JY, Yan LN. Journal: Hepatobiliary Pancreat Dis Int; 2008 Jun; 7(3):322-4. PubMed ID: 18522891. Abstract: 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%). CONCLUSION: CPHT is a salvage measure to maintain the patency of portal inflow to the liver graft in the presence of extensive PVT.[Abstract] [Full Text] [Related] [New Search]