Hepatic venous outflow reconstruction in adult right lobe living donor liver transplantati

Hepatic venous outflow reconstruction in adult right lobe living donor liver transplantation

without middle hepatic vein

WU Hong;LU Qiang;CHEN Zhe-yu;MA Yu-kui;LI Jin;YANG Jia-yin;YAN Lü-nan;LI Bo;ZENG Yong;WEN Tian-fu;ZHAO Ji-chun;WANG Wen-tao;XU Ming-qing

【期刊名称】《中华医学杂志（英文版）》 【年(卷),期】2007(120)011

【摘要】Background It is difficult and challenging to reconstruct hepatic venous outflow in adult right lobe living donor liver transplantation (LDLT) without the middle hepatic vein (MHV). Excessive perfusion of the portal vein and venous outflow obstruction will lead to acute congestion of the graft, ultimately resulting in primary nonfunction. Although various reconstruction patterns have been explored in many countries, there is currently no clear consensus. In this study we describe a technique to prevent \anastomosis with the inferior vena cava (IVC) in LDLT using right lobe graft without the MHV.Methods A retrospective analysis was conducted on clinical data from 55 recipients undergoing LDLT using right lobe grafts without the MHV or reconstruction of hepatic venous outflow. The donor's right hepatic vein (RHV) was anastomosed with a triangular opening of the recipient IVC; the inferior right hepatic vein (IRHV), if large enough, was anastomosed directly to the IVC. The great