Splenectomy for reduction of excessive portal hypertension after adult living-related donor liver transplantation.

摘要: Background/Aims: We investigated the effects of splenectomy on reduction excessive portal hypertension immediately after adult living-related donor liver transplantation, paying particular attention to peritransplanted pressure in seven. patients. Methodology: studied relationship between and hyperbilirubinemia small-for-size graft transplantation. Results: In three cases, pressures increased beyond 30 cmH 2 O despite right lobe graft, these patients underwent spienectomy. After splenectomy, their decreased below 25 O. The auxiliary orthotopic partial transplantation due hypercitrullinemia did not change surgery (9.5 11.5 O). Interestingly, occurring were as primary result direct bilirubin except for patient with citrullinemia. posttransplanted controlled all patients, peak serum total levels exceeding 15mg/dL, discharged without major complications. Three suffer from serious infection. might prevent injury post-transplant hyperbilirubinemia. Conclusions: However, spienectomy remains a life-threatening factor. Therefore, transplant surgeons encountering must continue seek out additional solutions problems hypertension.