{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:40:12Z","timestamp":1787791212820,"version":"build-2784847793"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,3,8]],"date-time":"2015-03-08T00:00:00Z","timestamp":1425772800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Liver transplantation (LT) used to be contraindicated in patients with portal vein thrombosis (PVT). In comparison to deceased donor LT, living donor LT (LDLT) still presents additional difficulties in determining appropriate vein grafts and overcoming small\u2010for\u2010size syndrome. Here, we introduce our LDLT strategies and assess their outcomes in adult patients with pre\u2010existing PVT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed 282 consecutive adult LDLTs between April 2006 and December 2011. Forty\u2010eight patients (17%) had pre\u2010existing PVT (grade I; 15, II; 20, III; 12, IV; 1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our preferred treatments for PVT were thrombectomies\/thromboendovenectomies in 30 patients, replaced grafts in seven, jump grafts in seven, renoportal anastomosis in one and no surgical intervention owing to minimal thrombosis in three. Post\u2010transplant portal vein complications occurred in eight of 48 (17%) cases, which were treated by surgery, anticoagulation therapy, and\/or interventional radiology. Post\u2010transplant survival rates of patients with preexisting PVT at 1 year and 5 years were comparable to a PVT\u2010free cohort (1 year; 81% vs. 77%, 5 years; 81% vs. 73%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The excellent survival rates in patients with PVT who underwent LDLT could be attributed to our strategies, which included surgical techniques and timely treatment of postoperative complications.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.235","type":"journal-article","created":{"date-parts":[[2015,3,9]],"date-time":"2015-03-09T01:07:10Z","timestamp":1425863230000},"page":"467-474","source":"Crossref","is-referenced-by-count":29,"title":["Portal vein reconstruction in adult living donor liver transplantation for patients with portal vein thrombosis in single center experience"],"prefix":"10.1002","volume":"22","author":[{"given":"Akira","family":"Mori","sequence":"first","affiliation":[{"name":"Department of Hepato\u2010Biliary\u2010Pancreatic Surgery and Transplantation, Graduate School of Medicine Kyoto University, 54 Shogoin Kawahara\u2010cho, Sakyo\u2010ku  Kyoto 606\u20108507 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taku","family":"Iida","sequence":"additional","affiliation":[{"name":"Department of Hepato\u2010Biliary\u2010Pancreatic Surgery and Transplantation, Graduate School of Medicine Kyoto University, 54 Shogoin Kawahara\u2010cho, Sakyo\u2010ku  Kyoto 606\u20108507 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junji","family":"Iwasaki","sequence":"additional","affiliation":[{"name":"Department of Hepato\u2010Biliary\u2010Pancreatic Surgery and Transplantation, Graduate School of Medicine Kyoto University, 54 Shogoin Kawahara\u2010cho, Sakyo\u2010ku  Kyoto 606\u20108507 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kohei","family":"Ogawa","sequence":"additional","affiliation":[{"name":"Department of Hepato\u2010Biliary\u2010Pancreatic Surgery and Transplantation, Graduate School of Medicine Kyoto University, 54 Shogoin Kawahara\u2010cho, Sakyo\u2010ku  Kyoto 606\u20108507 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiro","family":"Fujimoto","sequence":"additional","affiliation":[{"name":"Department of Hepato\u2010Biliary\u2010Pancreatic Surgery and Transplantation, Graduate School of Medicine Kyoto University, 54 Shogoin Kawahara\u2010cho, Sakyo\u2010ku  Kyoto 606\u20108507 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadahiro","family":"Uemura","sequence":"additional","affiliation":[{"name":"Department of Hepato\u2010Biliary\u2010Pancreatic Surgery and Transplantation, Graduate School of Medicine Kyoto University, 54 Shogoin Kawahara\u2010cho, Sakyo\u2010ku  Kyoto 606\u20108507 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