Korean J Hepatobiliary Pancreat Surg.  2011 Feb;15(1):62-65.

Renoportal Anastomosis in Living Donor Liver Transplantation; An Effective Technique for Patient with Diffuse Portal Vein Thrombosis and Large Splenorenal Shunts

• Kim JD
• Choi DL
• Han YS

Abstract

End-stage liver disease is often accompanied by portal vein thrombosis (PVT) and large spontaneous splenorenal shunts (SRS). Recently, renoportal anastomosis (RP-A) of spontaneous splenorenal shunts in liver transplantation was reported as an effective method of portal vein reconstruction in cases of PVT with SRS. Here we report a successful case of RP-A in living donor liver transplantation (LDLT). A 46-year-old female with a large spontaneous splenorenal shunt and a portal vein thrombosis propagated to the superior mesenteric vein underwent living donor liver transplantation. At the operation, a side-to-end renoportal anastomosis was done using an interposing cadaveric iliac vein graft. Adequate portal venous blood flow was demonstrated by intraoperative and postoperative Doppler ultrasound studies. She has recovered well with normal graft function and renal function. Renoportal anastomosis for patients with large splenorenal shunts and expansive portal vein thrombosis to the superior mesenteric vein can be an effective and safe technique in patients PV thrombectomy.

Keyword

Renoportal anastomosis; Portal vein thrombosis; Splenorenal shunt; Living donor liver transplantation

MeSH Terms

Cadaver
Female
Humans
Iliac Vein
Liver
Liver Diseases
Liver Transplantation
Living Donors
Mesenteric Veins
Middle Aged
Portal Vein
Splenorenal Shunt, Surgical
Thrombectomy
Thrombosis
Transplants