Augmentation Patch V-venoplasty to Correct Atretic Changes of the Portal Vein During Adult Liver Transplantation.

Fiche publication

Date publication

août 2021

Journal

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract

Auteurs

Membres identifiés du Cancéropôle Est :
Pr BACHELLIER Philippe

Tous les auteurs :
Addeo P, Julliard O, Schaaf C, Paul C, Faitot F, Cusumano C, Bachellier P

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/34467465

Résumé

The development of large spontaneous portosystemic shunts (PSS) is a common finding in liver cirrhosis. The diversion of the portal flow through PSS directly into the caval system causes progressive liver atrophy and atretic changes of the portal vein. During both living and deceased donor liver transplantation (LT), persistence of large PSS has been associated to portal flow steal phenomena causing decreased patients and graft survival. Atretic changes of the portal vein and large PSS often coexist potentially representing a technical challenge during portal vein reconstruction. We herein describe (with a didactical video) an easy augmentation patch V-venoplasty used in the presence of atretic changes of the portal vein LT.