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08 March 2022: Original Paper

The Role of Cavoportal and Renoportal Hemitransposition in Liver Transplantation

Betty Maillot 1ABCDEF , Guillaume Bouzille 2C , Jean-Yves Mabrut 3B , Edouard Girard 4B , Alexis Laurent 5B , Francis Navarro 6B , Alexandre Chebaro 7B , Laurence Chiche 8B , François Faitot 9B , Laurent Sulpice 1AB , Eric Vibert 10B , Karim Boudjema 1ACDEF*

DOI: 10.12659/AOT.935892

Ann Transplant 2022; 27:e935892

Table 3 Patient, graft and perioperative characteristics.

HTn=64n (%) ormedian [IQR]CPAn=13n (%) ormedian [IQR]RPAn=51n (%) ormedian [IQR]P-value
Complications (Clavien-Dindo)0.590
27 (48)4 (36)23 (51)
 ≥IIIb29 (52)7 (64)22 (49)
Anastomotic complications
 Thrombosis9 (14.1)2 (15.4)7 (13.7)1.000
 Stenosis4 (6.2)0 (0.0)4 (7.8)0.574
 Thrombosis10 (15.6)5 (38.5)5 (9.8)0.023
 Stenosis3 (4.7)0 (0.0)3 (5.9)1.000
 Thrombosis2 (3.1)1 (7.7)1 (2.0)0.368
 Stenosis0 (0)0 (0)0 (0)0.000
 Bilioma2 (3.1)1 (7.7)1 (2.0)0.368
 Biliary fistula2 (3.1)0 (0.0)2 (3.9)1.000
Graft dysfunction
 PNF7 (10.9)3 (23.1)4 (7.8)0.283
 Delayed function1 (1.6)0 (0.0)1 (2.0)1.000
PHT-related complications
 Ascites18 (28.1)7 (53.8)11 (21.6)0.049
 Hemorrhage11 (17.2)3 (23.1)8 (15.7)0.827
 Encephalopathy1 (1.6)0 (0.0)1 (2.0)1.000
Renal complications
 Functional ARF22 (34.9)5 (38.5)17 (34.0)1.000
 Organic ARF10 (15.6)2 (15.4)8 (15.7)1.000
 Postop. dialysis6 (9.4)1 (7.7)5 (9.8)1.000
Reoperation26 (40.6)5 (38.5)21 (41.2)1.000
Retransplantation3 (4.8)0 (0.0)3 (5.9)0.914
Hospital stay (days)29.5 [19.75–43]38 [27.25–65.25]29 [19–37.5]0.153
Rehospitalization17 (28.8)4 (36.4)13 (27.1)0.807
HT – hemitranspositions; CPA – cavoportal hemitransposition; RPA – renoportal hemitransposition; IQR – interquartile range; PNF – primary nonfunction; PHT – portal hypertension; ARF – acute renal failure.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358