PURPOSES: Reconstruction of the right inferior hepatic vein (RIHV) presents a major technical challenge in living donor liver transplantation (LDLT) using right lobe grafts. METHODS: We studied 47 right lobe LDLT grafts with RIHV revascularization, comparing one-step reconstruction, performed post-May 2007 (n = 16), with direct anastomosis, performed pre-May 2007 (n = 31). RESULTS: In the one-step reconstruction technique, the internal jugular vein (n = 6), explanted portal vein (n = 5), inferior vena cava (n = 3), and shunt vessels (n = 2) were used as venous patch grafts for unifying the right hepatic vein, RIHVs, and middle hepatic vein tributaries. By 6 months after LDLT, there was no case of occlusion of the reconstructed RIHVs in the one-step reconstruction group, but a cumulative occlusion rate of 18.2 % in the direct anastomosis group. One-step reconstruction required a longer cold ischemic time (182 ± 40 vs. 115 ± 63, p < 0.001) and these patients had higher alanine transaminase values (142 ± 79 vs. 96 ± 46 IU/L, p = 0.024) on postoperative day POD 7. However, the 6-month short-term graft survival rates were 100 % with one-step reconstruction and 83.9 % with direct anastomosis, respectively. CONCLUSION: One-step reconstruction of the RIHVs using auto-venous grafts is an easy and feasible technique promoting successful right lobe LDLT.
PURPOSES: Reconstruction of the right inferior hepatic vein (RIHV) presents a major technical challenge in living donor liver transplantation (LDLT) using right lobe grafts. METHODS: We studied 47 right lobe LDLT grafts with RIHV revascularization, comparing one-step reconstruction, performed post-May 2007 (n = 16), with direct anastomosis, performed pre-May 2007 (n = 31). RESULTS: In the one-step reconstruction technique, the internal jugular vein (n = 6), explanted portal vein (n = 5), inferior vena cava (n = 3), and shunt vessels (n = 2) were used as venous patch grafts for unifying the right hepatic vein, RIHVs, and middle hepatic vein tributaries. By 6 months after LDLT, there was no case of occlusion of the reconstructed RIHVs in the one-step reconstruction group, but a cumulative occlusion rate of 18.2 % in the direct anastomosis group. One-step reconstruction required a longer cold ischemic time (182 ± 40 vs. 115 ± 63, p < 0.001) and these patients had higher alanine transaminase values (142 ± 79 vs. 96 ± 46 IU/L, p = 0.024) on postoperative day POD 7. However, the 6-month short-term graft survival rates were 100 % with one-step reconstruction and 83.9 % with direct anastomosis, respectively. CONCLUSION: One-step reconstruction of the RIHVs using auto-venous grafts is an easy and feasible technique promoting successful right lobe LDLT.
Authors: Arjun Srinivasan; Elizabeth C Burton; Matthew J Kuehnert; Charles Rupprecht; William L Sutker; Thomas G Ksiazek; Christopher D Paddock; Jeannette Guarner; Wun-Ju Shieh; Cynthia Goldsmith; Cathleen A Hanlon; James Zoretic; Bernard Fischbach; Michael Niezgoda; Waleed H El-Feky; Lillian Orciari; Edmund Q Sanchez; Anna Likos; Goran B Klintmalm; Denise Cardo; James LeDuc; Mary E Chamberland; Daniel B Jernigan; Sherif R Zaki Journal: N Engl J Med Date: 2005-03-17 Impact factor: 91.245
Authors: Sung Gyu Lee; Kwang Min Park; Shin Hwang; Ki Hun Kim; Dong Nak Choi; Sun Hyung Joo; Chul Soo Anh; Yang Won Nah; Jang Yeong Jeon; Sang Hoon Park; Kyung Suck Koh; Sang Hoon Han; Kyu Taek Choi; Kyu Sam Hwang; Yasuhiko Sugawara; Masatoshi Makuuchi; Pyung Chul Min Journal: Transplantation Date: 2002-07-15 Impact factor: 4.939
Authors: Yu Zhang; Eric C H Lai; Chong Yang; Hongji Yang; Jun Liu; Guo Zhou; Di Xian; Shaoping Deng; Wan Yee Lau Journal: Int J Surg Case Rep Date: 2020-03-28