Surgery
Volume 145, Issue 5 , Pages 457-464 , May 2009

Diameter of splenic vein is a risk factor for portal or splenic vein thrombosis after laparoscopic splenectomy

  • Katsuki Danno, MD

      Affiliations

    • Department of Surgery, Graduate School of Medicine, Osaka University, Suita, Japan
    • ,
  • Masataka Ikeda, MD, PhD

      Affiliations

    • Department of Surgery, Graduate School of Medicine, Osaka University, Suita, Japan
    • Corresponding Author InformationReprint requests: Masataka Ikeda, MD, PhD, Department of Surgery, Graduate School of Medicine, Osaka University, E2-2-2 Yamadaoka, Suita, Osaka 565-0871, Japan.
    • ,
  • Mitsugu Sekimoto, MD, PhD

      Affiliations

    • Department of Surgery, Graduate School of Medicine, Osaka University, Suita, Japan
    • ,
  • Tomoyuki Sugimoto, PhD

      Affiliations

    • Department of Bio-Medical Statistics, Graduate School of Medicine, Osaka University, Suita, Japan
    • ,
  • Ichiro Takemasa, MD, PhD

      Affiliations

    • Department of Surgery, Graduate School of Medicine, Osaka University, Suita, Japan
    • ,
  • Hirofumi Yamamoto, MD, PhD

      Affiliations

    • Department of Surgery, Graduate School of Medicine, Osaka University, Suita, Japan
    • ,
  • Yuichiro Doki, MD, PhD

      Affiliations

    • Department of Surgery, Graduate School of Medicine, Osaka University, Suita, Japan
    • ,
  • Morito Monden, MD, PhD

      Affiliations

    • Department of Surgery, Graduate School of Medicine, Osaka University, Suita, Japan
    • ,
  • Masaki Mori, MD, PhD

      Affiliations

    • Department of Surgery, Graduate School of Medicine, Osaka University, Suita, Japan

,Accepted 23 June 2008.

References 

  1. Gertsch P, Matthews J, Lerut J, Blumqart LH. Acute thrombosis of the splanchnic veins. Arch Surg. 1993;128:341–345
  2. Rattner DW, Ellman L, Warshaw AL. Portal vein thrombosis after elective splenectomy. An underappreciated, potentially lethal syndrome. Arch Surg. 1993;128:565–569
  3. Petit P, Bret PM, Atri M, Hreno A, Casola G, Gianfelice D. Splenic vein thrombosis after splenectomy: frequency and role of imaging. Radiology. 1994;190:65–68
  4. Chaffanjon PC, Brichon PY, Ranchoup Y, Gressin R, Sotto JJ. Portal vein thrombosis following splenectomy for hematological disease: prospective study with Doppler color flow imaging. World J Surg. 1998;22:1082–1086
  5. Harris W, Marcaccio M. Incidence of portal vein thrombosis after laparoscopic splenectomy. Can J Surg. 2005;48:352–354
  6. Pietrabissa A, Moretto C, Antonelli G, Morelli L, Marciano E, Mosca F. Thrombosis in the portal venous system after elective laparoscopic splenectomy. Surg Endosc. 2004;18:1140–1143
  7. Miniati DN, Padidar AM, Kee ST, Krummel TM, Mallory B. Portal vein thrombosis after laparoscopic splenectomy: an ongoing clinical challenge. JSLS. 2005;9:335–338
  8. Valla DC, Condat B, Lebrec D. Spectrum of portal vein thrombosis in the West. J Gastroenterol Hepatol. 2002;(Suppl 3):S224–S227
  9. Stamou KM, Toutouzas KG, Kekis PB, Nakos S, Gafou A, Manouras A, et al. Prospective study of the incidence and risk factors of postsplenectomy thrombosis of the portal, mesenteric, and splenic veins. Arch Surg. 2006;141:663–669
  10. Winslow ER, Brunt LM, Drebin JA, Soper NJ, Klinqensmith ME. Portal vein thrombosis after splenectomy. Am J Surg. 2002;184:631–636
  11. Hayes DM, Spurr CL, Hutaff LW, Sheets JA. Post-splenectomy thrombocytosis. Ann Intern Med. 1963;58:259–267
  12. Broe PJ, Conley CL, Cameron JL. Thrombosis of the portal vein following splenectomy for myeloid metaplasia. Surg Gynecol Obstet. 1981;152:488–492
  13. Ikeda M, Sekimoto M, Takiguchi S, Kubota M, Ikenaga M, Yamamoto H, et al. High incidence of thrombosis of the portal venous system after laparoscopic splenectomy: a prospective study with contrast-enhanced CT scan. Ann Surg. 2005;241:208–216
  14. Eguchi A, Hashizume M, Kitano S, Tanoue K, Wada H, Sugimachi K. High rate of portal thrombosis after splenectomy in patients with esophageal varices and idiopathic portal hypertension. Arch Surg. 1991;126:752–755
  15. de Cleva R, Herman P, Saad WA, Puqliese V, Zilberstein B, Rodriguess JJ, et al. Postoperative portal vein thrombosis in patients with hepatosplenic mansonic schistosomiasis: relationship with intraoperative portal pressure and flow. A prospective study. Hepatogastroenterology. 2005;52:1529–1533
  16. Ikeda M, Sekimoto M, Takiguchi S, et al. Total splenic vein thrombosis after laparoscopic splenectomy: a possible candidate for treatment. Am J Surg. 2007;193:21–25
  17. Poultsides GA, Lewis WC, Feld R, Walters DL, Cherry DA, Ruby ST. Portal vein thrombosis after laparoscopic colectomy: thrombolytic therapy via the superior mesenteric vein. Am Surg. 2005;71:856–860
  18. Jakimowicz J, Stultiens G, Smulders F. Laparoscopic insufflation of the abdomen reduces portal venous flow. Surg Endosc. 1998;12:129–132
  19. Takagi S. Hepatic and portal vein blood flow during carbon dioxide pneumoperitoneum for laparoscopic hepatectomy. Surg Endosc. 1998;12:427–431
  20. Baixauli J, Delaney CP, Senagore AJ, et al. Portal vein thrombosis after laparoscopic sigmoid colectomy for diverticulitis: report of a case. Dis Colon Rectum. 2003;46:550–553

PII: S0039-6060(08)00469-8

doi: 10.1016/j.surg.2008.06.030

Surgery
Volume 145, Issue 5 , Pages 457-464 , May 2009

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