Our study aimed at assessing the changes of portal vein pressure, portal vein flow and hepatic arterial flow (HAF) in liver remnants ≤ 30% of the standard liver volume by reducing portal vein overflow via ligation of the splenic artery.
It has been reported that prevention of acute portal overpressure in small-for-size liver grafts leads to better postoperative outcomes. Accordingly, we aimed to investigate the feasibility of the technique of splenic artery ligation in a case series of patients subjected to major liver resections with evidence of small-for-size syndrome and whether the maneuver results in reduction of portal venous pressure and flow.
Study Type
OBSERVATIONAL
Enrollment
13
We identified portal hyperperfusion as a cause of potential small-for-size liver remnant dysfunction and we applied splenic artery ligation as a technically simple procedure to manage the situation
Aretaieion University Hospital
Athens, Attica, Greece
portal vein pressure
change of portal vein pressure from before liver resection to after reperfusion of the liver remnant
Time frame: through the operation, an average period of two hours
portal vein flow
change of portal vein flow from before liver resection to after reperfusion of the liver remnant
Time frame: through the operation, an average period of two hours
hepatic artery flow
change of hepatic artery flow from before liver resection to after reperfusion of the liver remnant
Time frame: through the operation, an average period of two hours
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