Abstract | BACKGROUND: METHODS: All consecutive patients with cirrhosis who underwent splenectomy in Kyushu University Hospital between 1998 and 2004 were included in this retrospective study. They were divided into two groups based on the presence or absence of postoperative PVT. Preoperative and operative factors were compared, and the relationships between formation of PVT and its independent variables were analysed. In some cases, portal venous flow was measured before and after splenectomy using duplex Doppler ultrasonography. RESULTS: PVT developed after surgery in 17 (24 per cent) of 70 patients studied. Multivariable analysis showed that increased splenic vein diameter and low white cell count were significant independent risk factors for PVT. Portal venous flow after splenectomy was greatly reduced in the PVT group, but not in patients without PVT. CONCLUSION:
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Authors | N Kinjo, H Kawanaka, T Akahoshi, M Tomikawa, N Yamashita, K Konishi, K Tanoue, K Shirabe, M Hashizume, Y Maehara |
Journal | The British journal of surgery
(Br J Surg)
Vol. 97
Issue 6
Pg. 910-6
(Jun 2010)
ISSN: 1365-2168 [Electronic] England |
PMID | 20474001
(Publication Type: Journal Article)
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Topics |
- Female
- Humans
- Hypertension, Portal
(complications)
- Liver Circulation
(physiology)
- Liver Cirrhosis
(complications)
- Male
- Middle Aged
- Portal Vein
- Risk Factors
- Splenectomy
(adverse effects)
- Ultrasonography, Doppler, Duplex
- Venous Thrombosis
(diagnostic imaging, etiology)
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