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 4 Features of spontaneous portosystemic shunts (SPSS), perioperative level of NH3, and postoperative interventional radiology (IVR) in the non-ligation group.
| Survivors (n=26) | Non-survivors/re-transplantation (n=17) | P value | |
|---|---|---|---|
| SPSS | |||
| Left gastric | 10 (38.5) | 4 (23.5) | |
| Splenorenal | 9 (34.6) | 9 (52.9) | |
| Gastrorenal | 2 (7.7) | 2 (11.8) | |
| Mesenteric-iliac | 5 (19.2) | 2 (11.8) | |
| Maximum diameter, mm | 15.4 (10.0–25.6) | 12 (10.0–21.0) | 0.02 |
| NH, μg/dl | |||
| Pre-operation | 99.5 (32–174) | 106 (10–204) | 0.77 |
| POD1 | 65.5 (20–154) | 81 (33–144) | 0.35 |
| POD7 | 47.5 (11–125) | 63 (19–167) | 0.29 |
| Postoperative IVR | 3 (11.5) | 2 (11.8) | 1.00 |
| Data are presented as n (%) or the median (range). SPSS – spontaneous portosystemic shunts; IVR – interventional radiology; POD – postoperative day; IVR – interventional radiology. | |||