Portal Vein Thrombosis After Hepatectomy

Background Although various complications after hepatectomy have been reported, there have been no large studies on postoperative portal vein thrombosis (PVT) as a complication. This study evaluated the incidence, risk factors, and clinical outcomes of PVT after hepatectomy. Methods The preoperative...

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Bibliographic Details
Published in:World journal of surgery 2014-06, Vol.38 (6), p.1491-1497
Main Authors: Yoshiya, Shohei, Shirabe, Ken, Nakagawara, Hidekazu, Soejima, Yuji, Yoshizumi, Tomoharu, Ikegami, Toru, Yamashita, Yo-ichi, Harimoto, Norifumi, Nishie, Akihiro, Yamanaka, Takeharu, Maehara, Yoshihiko
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Aged
Analysis of Variance
Anticoagulants - therapeutic use
Cardiac Surgery
Cohort Studies
Female
Follow-Up Studies
General Surgery
Hepatectomy - adverse effects
Hepatectomy - methods
Humans
Laparoscopic Hepatectomy
Laparoscopy - adverse effects
Laparoscopy - methods
Laparotomy - adverse effects
Laparotomy - methods
Liver Neoplasms - pathology
Liver Neoplasms - surgery
Liver Regeneration - physiology
Main Portal Vein
Male
Medicine
Medicine & Public Health
Middle Aged
Phlebography - methods
Portal Vein
Portal Vein Thrombosis
Postoperative Complications - diagnostic imaging
Postoperative Complications - drug therapy
Pringle Maneuver
Retrospective Studies
Superior Mesenteric Vein
Surgery
Thoracic Surgery
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgery
Venous Thrombosis - diagnostic imaging
Venous Thrombosis - drug therapy
Venous Thrombosis - etiology
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Summary:Background Although various complications after hepatectomy have been reported, there have been no large studies on postoperative portal vein thrombosis (PVT) as a complication. This study evaluated the incidence, risk factors, and clinical outcomes of PVT after hepatectomy. Methods The preoperative and postoperative clinical characteristics of patients who underwent hepatectomy were retrospectively analyzed. Results A total of 208 patients were reviewed. The incidence of PVT after hepatectomy was 9.1 % ( n  = 19), including main portal vein (MPV) thrombosis ( n  = 7) and peripheral portal vein (PPV) thrombosis ( n  = 12). Patients with MPV thrombosis had a significantly higher incidence of right hepatectomy ( p  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-013-2440-8