Complex outflow anatomy in left lateral lobe graft and modified venous reconstruction in pediatric living donor liver transplantation

Summary Hepatic venous outflow reconstruction is of critical significance in pediatric patients undergoing living donor liver transplantation. Accurate knowledge of the anatomical variations is important to obtain appropriate size segmental grafts. The diameter of the hepatic veins and the potential...

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Bibliographic Details
Published in:Transplant international 2014-10, Vol.27 (10), p.e105-e108
Main Authors: Benetatos, Nikolaos, Scalera, Irene, Isaac, John R., Mirza, Darius F., Muiesan, Paolo
Format: Article
Language:English
Subjects:
Child
Female
Follow-Up Studies
graft outflow obstruction
Graft Survival
hepatic vein anatomy of the left lateral liver
Hepatic Veins - surgery
Humans
left hepatic vein
Liver - anatomy & histology
Liver - blood supply
Liver - surgery
Liver Circulation - physiology
Liver cirrhosis
Liver Neoplasms - secondary
Liver Neoplasms - surgery
Liver Transplantation - methods
Living Donors
Pancreatic Neoplasms - pathology
Pancreatic Neoplasms - secondary
Pancreatic Neoplasms - surgery
Reconstructive Surgical Procedures - methods
Risk Assessment
segmental pediatric liver transplantation
Transplants & implants
Treatment Outcome
Vascular Surgical Procedures - methods
venous patch
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Summary:Summary Hepatic venous outflow reconstruction is of critical significance in pediatric patients undergoing living donor liver transplantation. Accurate knowledge of the anatomical variations is important to obtain appropriate size segmental grafts. The diameter of the hepatic veins and the potential risk of complications at the level of the anastomosis require an adequate primary vascular reconstruction. We describe a venous outflow reconstruction technique, in a living related left lateral lobe graft, with unfavorable hepatic venous anatomy.
ISSN:0934-0874
1432-2277
DOI:10.1111/tri.12388