Results of End-to-end Cavocavostomy during Adult LiverTransplantation

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• 作者：Matthias Glanemann ; Utz Settmacher ; Jan M. Langrehr ; Barbara Stange ; Roland Haase ; Natascha C. Nuessler ; Enrique Lopez-H?nninen ; Petr Podrabsky ; Wolf-Otto Bechstein and Peter Neuhaus
• 刊名：World Journal of Surgery
• 出版年：2002
• 出版时间：April 2002
• 年：2002
• 卷：26
• 期：3
• 页码：342-347
• 全文大小：458 KB

文摘

The results of end-to-end cavocavostomyduring adult liver transplantation were analyzed with special regard tocaval complications. In a series of 1000 liver transplants, we observed17 patients who suffered from postoperative caval obstruction (6patients) or caval stenosis (11 patients), for an incidence of 1.7 % .Surgical therapy was performed in 10 patients (58.8 % ), and 5 patientsrequired retransplantation (29.4 % ). Four patients died during thelater postoperative course. Two fatalities were related to cavalcomplications, resulting in a mortality rate of 11.8 % . Our resultsindicate that end-to-end cavocavostomy is a safe technique forcavocaval anastomosis. For only a few exceptions, such as pediatrictransplantation, reduced size livers, or size mismatch between donorand recipient, should alternative techniques such as end-to-side orside-to-side cavocavostomy be performed.