23 August 2022 : Original article
Management of Spontaneous Portosystemic Shunts in 231 Patients Who Underwent Living Donor Liver Transplantation: A Retrospective Study from a Single Center in Nagasaki, Japan
Takashi Hamada1ABCDEF, Masaaki Hidaka1ACDEF*, Akihiko Soyama
1ACDF, Takanobu Hara 1ADF, Hajime Imamura 1ADF, Hajime Matsushima 1ADF, Takayuki Tanaka1ADF, Tomohiko Adachi1ADF, Kengo Kanetaka 1DF, Susumu Eguchi1ADF
DOI: 10.12659/AOT.936371
Ann Transplant 2022; 27:e936371
Table 2 The feature of spontaneous portosystemic shunts (SPSS) and the perioperative level of NH3.
| Ligation (n=20) | Non-ligation (n=43) | P value | |
|---|---|---|---|
| SPSS | |||
| Left gastric | 11 (55.0) | 14 (32.6) | |
| Splenorenal | 5 (25.0) | 18 (41.9) | |
| Gastrorenal | 3 (15.0) | 4 (9.3) | |
| Mesenteric-iliac | 1 (5.0) | 7 (16.3) | |
| Maximum diameter, mm | 18 (10.0–31.2) | 14 (10.0–25.6) | 0.01 |
| NH, μg/dl | |||
| Pre-operation | 83 (10–211) | 101 (10–204) | 0.14 |
| POD1 | 52 (10–92) | 154 (20–154) | <0.01 |
| POD7 | 36.5 (10–153) | 52 (11–167) | 0.43 |
| Data are presented as n (%) or the median (range). SPSS - spontaneous portosystemic shunts; POD - postoperative day. | |||