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Lyu Shaocheng, He Qiang. Research progress in perioperative management of portal vein thrombosis in liver transplantation[J]. ORGAN TRANSPLANTATION, 2024, 15(1): 26-32. doi: 10.3969/j.issn.1674-7445.2023185
Citation: Lyu Shaocheng, He Qiang. Research progress in perioperative management of portal vein thrombosis in liver transplantation[J]. ORGAN TRANSPLANTATION, 2024, 15(1): 26-32. doi: 10.3969/j.issn.1674-7445.2023185
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Research progress in perioperative management of portal vein thrombosis in liver transplantation

doi: 10.3969/j.issn.1674-7445.2023185

  • Department of Hepatobiliary Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China

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  • Author Bio:

    吕少诚，现任首都医科大学附属北京朝阳医院肝胆外科副主任医师，讲师，研究方向为肝移植围手术期管理及术后免疫调控的相关机制。兼任中华医学会肠外肠内营养学分会加速康复外科协助组组员、中国医疗保健国际交流促进会胰腺病学分会委员、北京医师协会门静脉高压症多学科诊治医师分会委员、中国医疗保健国际交流促进会肝脏移植学分会工作秘书。兼任《器官移植》《国际外科学杂志》通讯编委，《中华肝脏外科手术学电子杂志》青年编委。主持北京市自然科学基金1项，参与国家级及省部级课题3项。获教育部科技进步二等奖一项。发表论文40余篇，其中中文核心期刊论文10余篇，SCI论文20余篇

  • Corresponding author: He Qiang, Email: heqiang349@163.com
  • Received Date: 2023-09-20
    Available Online: 2023-11-29
  • Publish Date: 2024-01-11
    Abstract
  • Portal vein thrombosis is one of the common complications of liver cirrhosis. The incidence of portal vein thrombosis is increased with the progression of diseases. The incidence and progression of portal vein thrombosis are associated with multiple factors. The indications of anticoagulant therapy remain to be investigated. At present, portal vein thrombosis is no longer considered as a contraindication for liver transplantation. Nevertheless, complicated portal vein thrombosis will increase perioperative risk of liver transplantation. How to restore the blood flow of portal vein system is a challenge for surgical decision-making in clinical practice. Rational preoperative typing, surgical planning and portal vein reconstruction are the keys to ensure favorable long-term prognosis of liver transplant recipients. In this article, epidemiological status, risk factors, typing and identification of portal vein thrombosis, preoperative and intraoperative management of portal vein thrombosis in liver transplantation, and the impact of portal vein thrombosis on the outcomes of liver transplantation were reviewed, aiming to provide reference for perioperative management of portal vein thrombosis throughout liver transplantation.

     

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