23 August 2022>: Original Paper
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 Hamada ABCDEF , Masaaki Hidaka ACDEF* , Akihiko Soyama ACDF , Takanobu Hara ADF , Hajime Imamura ADF , Hajime Matsushima ADF , Takayuki Tanaka ADF , Tomohiko Adachi ADF , Kengo Kanetaka DF , Susumu Eguchi ADFDOI: 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. |