Volume 14 Issue 6
Nov.  2023
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Ye Zhenghui, Zhao Hongchuan, Geng Xiaoping, et al. Transabdominal pericardial anastomosis of suprahepatic vena cava and right atrium in liver transplantation for Budd-Chiari syndrome complicated with liver cancer: a case report with surgical video[J]. ORGAN TRANSPLANTATION, 2023, 14(6): 855-860. doi: 10.3969/j.issn.1674-7445.2023116
Citation: Ye Zhenghui, Zhao Hongchuan, Geng Xiaoping, et al. Transabdominal pericardial anastomosis of suprahepatic vena cava and right atrium in liver transplantation for Budd-Chiari syndrome complicated with liver cancer: a case report with surgical video[J]. ORGAN TRANSPLANTATION, 2023, 14(6): 855-860. doi: 10.3969/j.issn.1674-7445.2023116
shu

Transabdominal pericardial anastomosis of suprahepatic vena cava and right atrium in liver transplantation for Budd-Chiari syndrome complicated with liver cancer: a case report with surgical video

doi: 10.3969/j.issn.1674-7445.2023116

  • General Surgery and Organ Transplantation Center, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China

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  • Corresponding author: Zhao Hongchuan, Email: zhc0117@sina.com
  • Received Date: 2023-06-11
    Available Online: 2023-08-25
  • Publish Date: 2023-11-09
    Abstract
  •   Objective  To summarize clinical experience of transabdominal pericardial anastomosis of suprahepatic vena cava of the donor and right atrium of the recipient in liver transplantation for Budd-Chiari syndrome (BCS) complicated with liver cancer.   Methods  Clinical data of a BCS patient complicated with liver cancer undergoing transabdominal pericardial anastomosis of suprahepatic vena cava and right atrium in liver transplantation were retrospectively analyzed.   Results  The hepatic vein and suprahepatic vena cava were partially occluded in the patient. Liver transplantation was completed by transabdominal pericardial anastomosis of suprahepatic vena cava and right atrium with beating-heart. In addition, due to pathological changes of the recipient's hepatic artery, splenic artery of the recipient was cut off, distal ligation was performed, and the proximal end was reversed and anastomosed with the common hepatic artery of the donor liver, and the reconstruction of hepatic artery was completed. The surgery was successfully performed. At approximately postoperative 1 week, the function of the liver allograft was gradually restored to normal, and no major complications occurred. The patient was discharged at postoperative 25 d. No signs of BCS recurrence was reported after 8-month follow-up.   Conclusions  It is safe and feasible to treat BCS by liver transplantation with transabdominal pericardial anastomosis of suprahepatic vena cava and right atrium. BCS patients complicated with liver cancer obtain favorable prognosis.

     

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