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Updated: Jul 4, 2026
Reduced Complications after Arterial Reconnection in a Rat Model of Orthotopic Liver Transplantation
Published on: November 7, 2020
Postoperative complications after liver transplantation with cavoportal hemitransposition
Mao-Lin Yan1, Yong Zeng, Bo Li
1Department of Hepatobiliary Surgery, Fujian Provincial Hospital, Fuzhou 350001, China.
Background:
Extensive portal vein thrombosis (PVT) in the recipient of liver transplantation increases postoperative morbidity and mortality. Cavoportal hemitransposition (CPHT) has been described as a salvage technique in the presence of extensive portal and superior mesenteric venous thrombosis.
Methods:
We report three patients who underwent this procedure, review the literature, and discuss the postoperative complications of CPHT.
Results:
Fifty-six patients with extensive PVT who underwent CPHT have been reported. Seventeen patients have died to date. The common complications of CPHT were ascites (55.4%), renal insufficiency (48.2%), variceal bleeding (30.4%), or thrombosis of cavoportal anastomosis or portal branch (14.3%).
Conclusion:
CPHT is a salvage measure to maintain the patency of portal inflow to the liver graft in the presence of extensive PVT.
