Acute portal vein thrombosis after right hepatic lobectomy: Successful treatment by thrombectomy

Jaffe, V; Lygidakis, N J; Blumgart, Leslie H.

doi:10.1002/bjs.1800690413

Cited by 14 publications

(4 citation statements)

References 6 publications

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“…Hepatic arterial thrombosis, as in the post-transplant setting, leads to irreversible hepatic ischemia. Portal and hepatic venous thrombosis can be managed expectantly with anticoagulation, although thrombectomy or radiological thrombolysis has also been demonstrated to be effective [71]. Postoperative perihepatic collections and abscesses contribute to and exacerbate SIRS and sepsis and need to be stringently looked for and drained with interventional imaging.…”

Section: Identification and Management Of Remediable Causesmentioning

confidence: 99%

Post hepatectomy liver failure (PHLF) – Recent advances in prevention and clinical management

Søreide

Deshpande

2021

European Journal of Surgical Oncology

129

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Section: Identification and Management Of Remediable Causesmentioning

confidence: 99%

Post hepatectomy liver failure (PHLF) – Recent advances in prevention and clinical management

Søreide

Deshpande

2021

European Journal of Surgical Oncology

129

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“…Portal vein thrombosis has also been implicated in the development of PLF. In these rare cases of inflow and outflow thrombosis with PLF, a decision must be made regarding the benefit of surgical or radiological thrombectomy or dissolution versus anticoagulation129–131.…”

Section: Management Of Postresection Liver Failurementioning

confidence: 99%

Prediction, prevention and management of postresection liver failure

Hammond

Guha

Beckingham

et al. 2011

British Journal of Surgery

167

114

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“…Progressive jaundice and ascites associated with deteriorating hepatic function are findings indicative of acute portal thrombosis. If a diagnosis of portal thrombosis is made, immediate thrombetomy should be performed 39…”

Section: Postoperative Complications and Managementmentioning

confidence: 99%

Liver resection for hepatocellular carcinoma: Indications, techniques, complications, and prognostic factors

Nagasue

1998

J Hep Bil Pancr Surg

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Although the resectability of hepatocellular carcinoma (HCC) has increased due to recent advances in diagnostic methods, the long-term results are far from satisfactory. Major hepatic resection is indicated in patients with noncirrhotic or mildly cirrhotic liver. Otherwise, limited resection should be carried out. Total or lobar hepatic inflow occlusion appears to decrease blood loss during surgery, and therefore to reduce postoperative morbidity and mortality rates. Total vascular exclusion with or without hypothermia may be indicated in selected patients. Hepatic resection is not necessarily contraindicated for HCC with tumor thrombus in the major portal veins, hepatic veins, inferior vena cava, and bile ducts. There are various postoperative complications, especially in cirrhotic patients, but if hepatic failure occurs, it is usually fatal. To prevent this complication, two factors may be most important: avoiding too great a resection and preventing such trigerring factors as hemorrhagic shock, infection, and gastrointestinal bleeding. Favorable prognostic factors are young age, female sex, and low serum AFP clinically, and small tumor, presence of capsule, absence of vascular invasion and/or daughter nodule, diploid or low proliferative tumor, and negative surgical margin pathologically. Increased necroinflammatory activity of the liver irrespective of viral type and hepatitis C virus-associated liver disease are associated with tumor recurrence in the remnant liver. The significance of adjuvant chemotherapy or interferon therapy remains to be elucidated.

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Acute portal vein thrombosis after right hepatic lobectomy: Successful treatment by thrombectomy

Abstract: In this paper we report a case of an acute portal vein thrombosis which occurred following a right hepatic lobectomy for metastatic liver disease.

Cited by 14 publications

References 6 publications

Post hepatectomy liver failure (PHLF) – Recent advances in prevention and clinical management

Post hepatectomy liver failure (PHLF) – Recent advances in prevention and clinical management

Prediction, prevention and management of postresection liver failure

Liver resection for hepatocellular carcinoma: Indications, techniques, complications, and prognostic factors

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