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A new venous conduit utilizing the recipient portal vein branches for segment V in adult partial liver transplantation.

Abstract：

:Right anterior-medial lobe congestion due to temporary clamping of segment V and/or VIII is common in the operative theater during adult donor right lobe liver transplantation, the most common procedure in our institute. We have used an autogenous saphenous vein conduit to recipient portal vein tributaries in 15 cases, as a "Y-to-I venoplasty" since January 2004. The recipient portal vein is transected 5 mm proximal to its bifurcation and extended to both sides with partial hepatic dissection. The "Y-to-I venoplasty" is made by suture closure of the portal vein transversely to form a tube. The average length is 7.5 cm with a 1.3 cm width. One end of "Y-to-I venoplasty" conduit is anastomosed to the donor segment V branch on the back table. And the other end is anastomosed directly to the IVC via a new window or the middle hepatic vein stump in recipient. The phase distension of the conduit with respiration is noted in the operative field. A 6/15 (40%) patency rate, was observed by CT angiography at the second postoperative week. All-patient conduits showed good flow on serial examinations at the 60th postoperative day. This new venous graft, made of recipient portal vein is a good conduit for segment V decongestion in adult right lobe partial liver transplantation.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Moon IS,Kim DG,Lee MD,Hong SK,Park SC,Oh DY,Ahn ST,Lee YJ

doi

10.1016/j.transproceed.2004.11.040

subject

Has Abstract

pub_date

2005-03-01 00:00:00

pages

1117-8

issue

2

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(04)01330-2

journal_volume

37

pub_type

杂志文章

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