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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 6 Comparison of perioperative complications between the HT and OLT groups.

HTn=64n (%) or median [IQR]OLT*n=64n (%) or median [IQR]P-value
Complications (Clavien-Dindo)0.620
27 (48)28 (55)
 ≥IIIb29 (52)23 (45)
Vascular complications
 Thrombosis of the hepatic artery9 (14.1)4 (6.2)0.357
 Thrombosis of the portal vein10 (15.6)0 (0)
 Stenosis of the CP or RP anastomosis3 (4.7)0 (0)
 Thrombosis of the vena cava2 (3.1)1 (1.6)1.000
Biliary fistula2 (3.1)2 (3.1)1.000
Graft dysfunction
 PNF7 (10.9)3 (4.7)0.323
 Delayed function1 (1.6)1 (1.6)1.000
PHT related complications
 Ascites18 (28.1)5 (7.8)0.006
 Hemorrhage11 (17.2)3 (4.7)0.047
 Hepatic encephalopathy1 (1.6)4 (6.2)0.365
Renal complications
 Functional ARF22 (34.9)18 (28.1)0.527
 Organic ARF10 (15.6)3 (4.7)0.079
 Postoperative dialysis6 (9.4)3 (4.7)0.492
Reoperation26 (40.6)25 (39.1)1.000
Retransplantation3 (4.8)8 (12.5)0.217
Hospital length of stay (days)29 [19–43]19 [15–28]0.006
Rehospitalization17 (28.8)15 (23.8)0.673
* Patients were paired to HT group on sex, age, recipient BMI, indication of transplantation, MELD score and cold ischemia time.
HT – hemitranspositions; OLT – orthotopic liver transplantation; 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