查詢結果分析
來源資料
相關文獻
- Clinical Analysis and Strategy for Liver Transplantation in Patients with Pre-existing Portal Vein Thrombosis
- Complicated Urinary Tract Infection: Analysis of 179 Patients
- Prognostic Factors in Node-Negative Breast Cancer Patients: The Experience in Taiwan
- Experience of Using FK 506 as a Rescue Therapy for Refractory Hepatic Allograft Rejection
- Reentry of a Treated Advanced Periodontal Lesion with an Acute Abscess--A Case Report
- Postoperative Radiotherapy of Adult Supratentorial High-grade Astrocytoma
- Prenatal Diagnosis and Perinatal Outcome of Facial Clefts
- Shock in the Pediatric Emergency Service: Five Years' Experience
- 糖尿病與腦中風
- The Prognostic Significance of Pathologic Characteristics of Breast Cancer Patients in Taiwan
頁籤選單縮合
題 名 | Clinical Analysis and Strategy for Liver Transplantation in Patients with Pre-existing Portal Vein Thrombosis=肝門靜脈栓塞的病患接受肝臟移植的臨床分析與策略 |
---|---|
作 者 | 吳宗翰; 林晏甥; 李正方; 吳庭榕; 游明晉; 詹昆明; 李威震; | 書刊名 | 長庚醫誌 |
卷 期 | 34:4 2011.07-08[民100.07-08] |
頁 次 | 頁426-434 |
分類號 | 416.246 |
關鍵詞 | 肝門靜脈栓塞; 肝臟移植; 手術處理; 預後; Portal vein thrombosis; Liver transplantation; Surgical management; Outcome; |
語 文 | 英文(English) |
英文摘要 | Background: Liver transplantation (LT) in patients with portal vein thrombosis (PVT) remains a challenge for transplant surgeons. In this study, we included a group of patients with PVT who underwent LT, and analyzed patient outcomes. Methods: A total of 356 patients who underwent LT consisting of 167 cases of deceased donor LT and 189 cases of live donor LT at Chang Gung Memorial Hospital Linkou Medical Center between September 1996 and June 2009 were retrospectively reviewed; 24 (6.7%) of these patients had PVT at transplantation. Their clinical features, surgical management, and outcomes were analyzed. Results: Surgical management of patients with PVT included a thrombectomy followed by direct anastomosis between the recipient’s and the liver graft portal vein (PV) (n = 13), interposition vein graft between the recipient’s coronary vein (CV) and the liver graft PV (n = 3), direct anastomosis of the recipient’s CV and the liver graft PV (n = 1), interposition jump graft from the recipient’s superior mesenteric vein to the liver graft PV (n = 4), and transection of the thrombotic PV followed by interposition of a venous graft between the recipient’s PV and the liver graft PV (n = 3). There were 7 hospital mortalities. The mean follow-up for the 17 surviving patients was 36.3 months (range, 3.4–105.1 months), and 14 patients were still alive at the end of the study. Four patients (16.7%) had rethrombosis of portal inflow after LT. Patients with PVT undergoing LT had a significantly higher mortality rate (p = 0.033) than patients without PVT undergoing LT. However, there was no significant difference in the cumulative survival rates (p = 0.0696). Further analysis of patient survival according to PVT grade, venous graft application, and reconstructed portal flow routes also exhibited no significant differences. Conclusions: LT for patients with PVT is clinically feasible and should not be considered a contraindication. However, a favorable outcome is achievable only with ideal surgical management to overcome PVT during LT. |
本系統中英文摘要資訊取自各篇刊載內容。