INTRODUCTION: The management of a large splenorenal shunt is important because it affects recipient outcome, particularly in living donor liver transplantation. METHODS: To manage large splenorenal shunts in living donor liver transplantation, we diverted superior mesenteric vein and splenic portal vein blood flow by ligation at the root of the splenic portal vein. RESULT: This procedure was applied for five patients in whom superior mesenteric vein blood flow had been completely stolen by a splenorenal shunt preoperatively. Postoperative course was excellent in all cases. CONCLUSION: This technique completely prevents morbidity related to large splenorenal shunts after living donor liver transplantation.
INTRODUCTION: The management of a large splenorenal shunt is important because it affects recipient outcome, particularly in living donor liver transplantation. METHODS: To manage large splenorenal shunts in living donor liver transplantation, we diverted superior mesenteric vein and splenic portal vein blood flow by ligation at the root of the splenic portal vein. RESULT: This procedure was applied for five patients in whom superior mesenteric vein blood flow had been completely stolen by a splenorenal shunt preoperatively. Postoperative course was excellent in all cases. CONCLUSION: This technique completely prevents morbidity related to large splenorenal shunts after living donor liver transplantation.
Authors: U Settmacher; N C Nüssler; M Glanemann; R Haase; M Heise; W O Bechstein; P Neuhaus Journal: Clin Transplant Date: 2000-06 Impact factor: 2.863
Authors: R Troisi; U J Hesse; J Decruyenaere; M C Morelli; U Palazzo; P Pattyn; F Colardyn; L Maene; B de Hemptinne Journal: Clin Transplant Date: 1999-10 Impact factor: 2.863
Authors: Federico N Aucejo; Koji Hashimoto; Cristiano Quintini; Dympna Kelly; David Vogt; Charles Winans; Bijan Eghtesad; Mark Baker; John Fung; Charles Miller Journal: Liver Transpl Date: 2008-01 Impact factor: 5.799