Yıl 2019, Cilt 3, Sayı 1, Sayfalar 70 - 73 2019-01-27

Canlı vericili sağ lob karaciğer naklinde portal ven varyasyonları ve trombüsleri
Portal vein variation and thrombosis in right lobe living donor liver transplantation

Gökhan Ertuğrul [1]

113 138

Amaç: Son dönem karaciğer hastalığının kesin tek tedavi yöntemi karaciğer naklidir. Kadavra karaciğer naklinin sınırlı olduğu ülkelerde, canlı donör karaciğer nakli yapılır. Bununla birlikte, donörün portal veninde bir varyasyonun veya alıcının portal veninde bir trombüsün varlığı özel bir dikkat gerektirir. Bu çalışmada, canlı vericili karaciğer nakli için bu potansiyel sınırlamaların her ikisi de değerlendirildi.

Yöntemler: Retrospektif kohort çalışma planlandı. Nisan 2014 - Aralık 2017 tarihleri arasında Medipol Üniversitesi Tıp Fakültesi, Organ Nakli Merkezi'nde sağ lob canlı vericili karaciğer nakli yapılan 129 hastayı retrospektif olarak değerlendirdik.

Bulgular: Hastaların dokuzuna (%7) portal ven varyasyonu veya portal ven trombüsünden dolayı portal venöz rekonstrüksiyon uygulandı. Altı hastada (%67) sağ lob greftinde çift portal ven açıklığının olması nedeniyle rekonstrüksiyon yapıldı. Üç hastada (%33) portal vende trombüs nedeniyle rekonstrüksiyon yapıldı. Bir hastada (%11,1) ameliyat sonrası morbidite ve bir hastada (%11,1) mortalite görüldü.

Sonuç: Bu çalışmada, dondurulmuş iliak ven greftlerinin portal ven rekonstrüksiyonları için güvenli bir şekilde kullanılabileceği saptanmıştır.

Aim: The only definitive treatment of end stage liver disease is liver transplantation. In countries where cadaveric liver transplants are limited, living donor liver transplantation is performed. However, the presence of a variation in the portal vein of the donor, or a thrombus in the portal vein of the recipient, requires specific consideration. In this study, both of these potential limitations to living donor liver transplantation were evaluated.

Patients: We designed a retrospective cohort study. From April 2014 to December 2017 we retrospectively evaluated 129 patients who underwent right lobe living donor liver transplantation in Organ Transplantation Center, Medipol University Faculty of Medicine, Istanbul, Turkey.

Results: Nine (7%) of the patients underwent portal venous reconstruction due to either portal vein variation or portal vein thrombosis. In six patients (67%) reconstruction was performed due to the presence of a double PV in the right lobe graft. In three (33%) patients, a thrombus in the PV necessitated a reconstruction. Early postoperative morbidity occurred in one patient (11.1%) and mortality in one patient (11.1%).

Conclusions: In this study, we found portal vein reconstructions using safely frozen iliac vein grafts.

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Konular Cerrahi
Dergi Bölümü Araştırma makalesi
Yazarlar

Orcid: 0000-0002-8351-4220
Yazar: Gökhan Ertuğrul
Ülke: Turkey


Bibtex @araştırma makalesi { josam516815, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {Fatih Başak}, year = {2019}, volume = {3}, pages = {70 - 73}, doi = {10.28982/josam.516815}, title = {Portal vein variation and thrombosis in right lobe living donor liver transplantation}, key = {cite}, author = {Ertuğrul, Gökhan} }
APA Ertuğrul, G . (2019). Portal vein variation and thrombosis in right lobe living donor liver transplantation. Journal of Surgery and Medicine, 3 (1), 70-73. DOI: 10.28982/josam.516815
MLA Ertuğrul, G . "Portal vein variation and thrombosis in right lobe living donor liver transplantation". Journal of Surgery and Medicine 3 (2019): 70-73 <http://dergipark.gov.tr/josam/issue/42845/516815>
Chicago Ertuğrul, G . "Portal vein variation and thrombosis in right lobe living donor liver transplantation". Journal of Surgery and Medicine 3 (2019): 70-73
RIS TY - JOUR T1 - Portal vein variation and thrombosis in right lobe living donor liver transplantation AU - Gökhan Ertuğrul Y1 - 2019 PY - 2019 N1 - doi: 10.28982/josam.516815 DO - 10.28982/josam.516815 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 70 EP - 73 VL - 3 IS - 1 SN - -2602-2079 M3 - doi: 10.28982/josam.516815 UR - http://dx.doi.org/10.28982/josam.516815 Y2 - 2019 ER -
EndNote %0 Journal of Surgery and Medicine Portal vein variation and thrombosis in right lobe living donor liver transplantation %A Gökhan Ertuğrul %T Portal vein variation and thrombosis in right lobe living donor liver transplantation %D 2019 %J Journal of Surgery and Medicine %P -2602-2079 %V 3 %N 1 %R doi: 10.28982/josam.516815 %U 10.28982/josam.516815
ISNAD Ertuğrul, Gökhan . "Canlı vericili sağ lob karaciğer naklinde portal ven varyasyonları ve trombüsleri". Journal of Surgery and Medicine 3 / 1 (Ocak 2019): 70-73. http://dx.doi.org/10.28982/josam.516815