Liver transplantation in patients with Budd-Chiari syndrome

Gómez, R; Moreno, Enrique; Colina, Francisco; García‐González, Ignacio; Loinaz, Carmelo; García, Ignacio Martín; Trombatore, G; Garcia, H.; Chamorro, Anna; Medina, E.; Cañete, A.

doi:10.1007/bf00346886

Cited by 5 publications

(2 citation statements)

References 19 publications

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“…Omentoplasty could reduce morbidity due to the physiologic characteristics of resorption and the macrophage phagocytose of the momentum .In fact it reduces intra abdominal infection and postoperative biliary stula [34] Capitonnage could erase the residual cavity by closing it wall one against the other .It could help to reduce the consequences of kysto-biliairy stula [35] .…”

Section: D) Surgical Techniquesmentioning

confidence: 99%

Postoperative Morbidity Risk Factors After Conservative Surgery of Hydatic Cyst of the Liver: A Retrospective Study of 151 Hydatic Cysts of the Liver

Ghannouchi¹,

Rodayna²,

Khlifa³

et al. 2021

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Background: Hepatic hydatid cyst is an endemic parasitosis in Tunisia. Although most of these cysts are benign; their treatment may lead to several complications which can cause an important post-operative morbidity and mortality.The purpose of the present paper is to assess the morbidity and mortality specifics risk factors of hepatic hydatid cysts after conservative surgery.Methods: We conducted a retrospective study of 102 patients over a period of 13 years, from 2006 to 2019. We included all patients operated on for hydatid cyst of the liver, complicated and uncomplicated, in the Department of General Surgery of Mahdia, Tunisia.We excluded patients who received an exclusive medical treatment and those who have other hydatic cyst localizations.Descriptive statistics,bivariate analysis using chi-squared test and Fisher’s exact test for categorical variables;t-test,ANOVA , and Kruskal–Wallis for continuous variables; odds ratio calculations, ordinal and multivariate logistic regression models were appliedResults: The cohort was composed of 102 patients with a total of 151 cysts operated on using conservative surgery, among them there was 75 women (73, 5%) and 27 men (26.5%). The median age was 43, with extremes ranging from 12 to 88 years. The majority of patients (94. 1%) were from rural areas. The cysts were uncomplicated in about half of the cases (48%), elsewhere complications such as compression of neighboring organs (25,5%), opening in the bile ducts (16,7%), infection (9,8%), and rupture in the peritoneum (2%) were found. Conservative surgery was the mainstay of treatment with an overall mortality rate of 1. 9%. The overall morbidity rate was 22%: 14% specific morbidity and 8% non-specific morbidity. External biliary fistula was the most common postoperative complication (9%). The predictive factors of morbidity in univariate analysis were Preoperative hydatid cyst infection (P = 0.01), Compressive cysts (P=0.05), preoperative fever and jaundice, (respectively P=0. 03 and P=0. 02), no one achieved statistical significance in the multivariate modelConclusions:Preoperative hydatid cyst infection, compressive cysts and preoperative fever and jaundice are significant predictor factors of morbidity after conservative surgery for liver hydatid cyst. They must be considered in the treatment and the surgical decision for patients with hydatid cyst.

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Section: D) Surgical Techniquesmentioning

confidence: 99%

Postoperative Morbidity Risk Factors After Conservative Surgery of Hydatic Cyst of the Liver: A Retrospective Study of 151 Hydatic Cysts of the Liver

Ghannouchi¹,

Rodayna²,

Khlifa³

et al. 2021

Preprint

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“…The graft was implanted without veno-venous bypass with the suprahepatic IVC anastomosis being performed intrathoracically, close to the right atrium; a well-described approach in cases of Budd-Chiari syndrome. 1 The portal vein was mobilized to the splenic / superior mesenteric junction and the thrombosed segment of the vessel was resected. The recipient's and the donor's portal veins were bridged with using an interposed 2-cm venous graft from the donor's iliac vessels; an established technique that has yielded satisfactory results in the past.…”

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confidence: 99%

A rare case of complex vascular reconstruction in liver transplantation

et al. 2004

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Abnormalities of recipient or donor vascular structures are associated with reconstructive difficulties in liver transplantation. A patient with thrombosis of the right hepatic vein and associated stricture of the inferior vena cava (IVC), portal vein thrombosis and multiple aberrant arteries underwent orthotopic liver transplantation. The donor's suprahepatic IVC was anastomosed to the recipient's intrathoracic IVC. The portal vein flow was restored by venous graft interposition, while the arterial flow was ensured by interposing an iliac arterial graft anastomosed to the infrarenal aorta. In conclusion, graft function remains excellent more than 5 years postoperatively.

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