Hepatic hemodynamic changes during liver transplantation: a review.

Abstract:

:Liver transplantation is performed in the recent decades with great improvements not only technically but also conceptually. However, there is still lack of consensus about the optimal hemodynamic characteristics during liver transplantation. The representative hemodynamic parameters include portal vein pressure, portal vein flow, and hepatic venous pressure gradient; however, there are still others potential valuable parameters, such as total liver inflow and hepatic artery flow. All the parameters are correlated closely and some internal modulating mechanisms, like hepatic arterial buffer response, occur to maintain stable hepatic inflow. To distinguish the unique importance of each hepatic and systemic parameter in different states during liver transplantation, we reviewed the published data and also conducted two transplant cases with different surgical strategies applied to achieve ideal portal inflow and pressure.

journal_name

World J Gastroenterol

authors

Feng AC,Fan HL,Chen TW,Hsieh CB

doi

10.3748/wjg.v20.i32.11131

subject

Has Abstract

pub_date

2014-08-28 00:00:00

pages

11131-41

issue

32

eissn

1007-9327

issn

2219-2840

journal_volume

20

pub_type

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