agnosis and treatment of portal vein thrombosis during liver transplantation

abstractjective To investigate the diagnosis and treatment of portal vein thrombosis (PVT) during liver transplantation. Methods The 158 patients who underwent liver transplantation in our hospital from June 1 of 2001 to January 30 of 2003 were retrospectively analyzed. Results PVT occurred in 26 patients of 158 cases. Nine of them are grade Ⅰ ; 11 of them are grade Ⅱ ; 5 of them are grade Ⅲ ; 1 of them are grade Ⅳ. In the patients of grade Ⅰ/Ⅱ :3 cases underwent embolectomy, 16 cases received cleaning thrombus and 1 case received anatomosis left branch of portal vein; 5 patients of received bypass using the iliac vein of donor and the inflow is the distal superior mesenteric vein; These cases of grade Ⅳ received other anastomosis of splanchna vein. The survival rate of posto-peration six months: the group of PVT is 24/26, the control group is 114/132 (P0. 05). Conclusion Accurate diagnosis of preoperation and the method of operation will effect outcome evidently in these patients who underwent liver transplantation with PⅣ.