A Surgical Technique for Portal Vein Decompression in Retransplantation

Lena Sibulesky, Timothy S. Shine, Justin H. Nguyen

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Introduction: Liver retransplantation is the only option for people who have a failing liver graft, but it can be technically challenging. Intraperitoneal adhesions often form after abdominal operations, which is true in liver retransplantation as well. Also, the liver hilum is scarred, which makes hilar dissection more difficult. In addition, dissection is further complicated in the setting of portal hypertension. Discussion: Venovenous bypass can be used for portomesenteric decompression. We describe an alternative technique for decompression of portal hypertension using an inferior mesenteric vein without placing the patient on venovenous bypass.

Original languageEnglish (US)
Pages (from-to)2098-2100
Number of pages3
JournalJournal of Gastrointestinal Surgery
Volume15
Issue number11
DOIs
StatePublished - Nov 1 2011

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Keywords

  • Liver retransplantation
  • Portal hypertension
  • Portovenous decompression

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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