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 Gastroenteroljournal_title
World journal of gastroenterologyauthors
Feng AC,Fan HL,Chen TW,Hsieh CBdoi
10.3748/wjg.v20.i32.11131subject
Has Abstractpub_date
2014-08-28 00:00:00pages
11131-41issue
32eissn
1007-9327issn
2219-2840journal_volume
20pub_type
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