Lessons Learned from Inappropriate Ligation of the Left Renal Vein for a Large Splenorenal Shunt in Living Donor Liver Transplantation / 대한이식학회지
The Journal of the Korean Society for Transplantation
;
: 82-86, 2017.
Artículo
en Inglés
| WPRIM
| ID: wpr-12370
ABSTRACT
During living donor liver transplantation, a large spontaneous splenorenal shunt (SRS) should be addressed to obtain adequate portal inflow. Various procedures such as direct ligation of the SRS, splenectomy, left renal vein ligation (LRVL), and renoportal anastomosis can be applied to treat a large SRS according to the hemodynamics of the portal flow and anatomic conditions. Of these surgical procedures, LRVL is a simple and effective solution for treatment of a large SRS. However, to perform a LRVL, rigorous evaluation of the recipient's anatomic and hemodynamic variations is mandatory. In the present case, we ligated the left renal vein to treat a large SRS, which resulted in an unexpected thrombosis of the left renal vein and remaining portal vein stenosis in the SRS. Therefore, we revised our decisions regarding whether the LRVL was properly applied.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Vena Porta
/
Venas Renales
/
Esplenectomía
/
Trombosis
/
Derivación Esplenorrenal Quirúrgica
/
Trasplante de Hígado
/
Constricción Patológica
/
Donadores Vivos
/
Hemodinámica
/
Ligadura
Límite:
Humanos
Idioma:
Inglés
Revista:
The Journal of the Korean Society for Transplantation
Año:
2017
Tipo del documento:
Artículo
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