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A Case Report of Modified Pancreatic Transplantation With a Limited Splenic Arteriovenous Fistula to Elude Thrombosis

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单位： [1]Shanxi Bethune Hospital (Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University), Taiyuan, China [2]Institute of Organ Transplantation,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology (Key Laboratory of Organ Transplantation,Ministry of Education [3]NHC Key L aboratory of Organ Transplantation [4]Key Labo- ratory of Organ Transplantation, Chinese Academy of Medical Sciences), Wuhan, China

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In classic pancreatic transplantation, the splenic artery and vein are ligated at the tail of the pancreas graft. This leads to slowed blood flow in the splenic vein and may cause thrombosis and graft loss. In this study, a patient received a pancreas after kidney transplantation. A modified surgical technique was used in the pancreatic graft preparation. The donor splenic artery and vein were anastomosed end to end at the tail of the pancreas. The splenic artery near the anastomosis was partially ligated, and an effective diameter of 2 mm was reserved to limit arterial blood pressure and flow. The patient recovered very well. Contrasted computed tomography scans on days 11 and 88 after pancreas transplantation indicated sufficient backflow of the splenic vein. We believe that this procedure may avoid the risk of splenic vein thrombosis after pancreas transplantation. This modified technique has not been reported in clinical cases previously and may help reduce the risk of thrombosis after pancreas transplantation.Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.

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出版当年[2023]版：

大类 | 4 区医学

小类 | 4 区免疫学 4 区外科 4 区移植

最新[2025]版：

大类 | 4 区医学

小类 | 4 区免疫学 4 区外科 4 区移植

第一作者：

第一作者单位： [1]Shanxi Bethune Hospital (Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University), Taiyuan, China [2]Institute of Organ Transplantation,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology (Key Laboratory of Organ Transplantation,Ministry of Education [3]NHC Key L aboratory of Organ Transplantation [4]Key Labo- ratory of Organ Transplantation, Chinese Academy of Medical Sciences), Wuhan, China

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通讯作者：

通讯机构： [1]Shanxi Bethune Hospital (Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University), Taiyuan, China [2]Institute of Organ Transplantation,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology (Key Laboratory of Organ Transplantation,Ministry of Education [3]NHC Key L aboratory of Organ Transplantation [4]Key Labo- ratory of Organ Transplantation, Chinese Academy of Medical Sciences), Wuhan, China [*1]Institute of Organ Transplantation,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430030,China

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