ArticleTranslational gastroenterology and hepatology2026
Preoperative portal vein thrombosis did not compromise long-term survival after liver transplantation with proper portal inflow reconstruction.
Article in Translational gastroenterology and hepatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Portal vein thrombosis (PVT) increases operative complexity and complication risks in liver transplantation (LT), but whether it compromises long-term survival with proper portal inflow reconstruction remains debated. This study aimed to evaluate the impact of preoperative PVT on perioperative and long-term outcomes after LT and to assess outcomes following individualized portal inflow reconstruction in patients with complex PVT. Methods: Adult orthotopic LT recipients between 2016 and 2024 were retrospectively recruited and stratified into PVT (n=144) and non-PVT (n=373) groups. Baseline, operative, and survival data were compared. Results: PVT patients had higher rates of Child-Pugh B/C (86.2% Conclusions: Preoperative PVT did not compromise long-term survival after LT but increased operative complexity, PV-related complications, and renal dysfunction. When appropriately designed, a non-anatomical portal reconstruction strategy could achieve favorable outcomes in complex PVT cases.
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