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Adult right lobe live donor liver transplantation without reconstruction of the middle hepatic vein: a single-center study of 109 cases. Transplantation 2008 Mar 15;85(5):775-7

Date

03/14/2008

Pubmed ID

18337674

DOI

10.1097/TP.0b013e31816636ad

Scopus ID

2-s2.0-40849113107   11 Citations

Abstract

We report our experience in adult-to-adult right hepatic lobe living donor liver transplantation (ALDLT) using extension of the hepatectomy transection line medially to incorporate the right middle hepatic vein branches into the donor graft. One hundred and nine ALDLT were performed at the University of Colorado from August 1997 to December 2005. Donors were screened preoperatively for hepatic venous anatomy compatible with this technique. Of the 109 ALDLT, the first 10 did not include the right middle hepatic vein branches in the graft. As such, three patients required retransplantation, two from graft loss because of venous congestion. Of the next 99 transplants, only 11 required retransplantation and none because of venous congestion. This approach allows adequate venous outflow through the right hepatic vein more than 1 cm, which is demonstrated by the absence of graft loss from venous congestion and superior graft survival.

Author List

Campsen J, Hendrickson RJ, Zimmerman MA, Wachs M, Bak T, Russ P, Bennet W, Trotter J, Kam I

Author

Michael A. Zimmerman MD, FACS Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Functional Laterality
Graft Survival
Hepatectomy
Hepatic Veins
Humans
Liver Transplantation
Living Donors
Retrospective Studies
Survival Analysis
Tissue and Organ Harvesting
jenkins-FCD Prod-486 e3098984f26de787f5ecab75090d0a28e7f4f7c0