LIVER-TRANSPLANTATION IN PATIENTS WITH A PREVIOUS PORTASYSTEMIC SHUNT

Over a six-year period, 4 patients who had undergone previous portasys temic shunt procedures received an orthotopic liver transplantation (O LTx). The types of shunt used were porta-caval (2 patients), distal sp lenoral shunt (1 patient), and the Sugiura procedure (1 patient). The mean interval between shunt and transplantation was 3.25 years. There was no statistical difference in blood, plasma, and crystalloid requir ements, cold and warm ischemia, duration of the transplantation proced ure or postoperative complications between these 4 patients and any of the others.