J Belghiti1, R Noun, A Sauvanet. 1. Department of Digestive Surgery, Hôpital Beaujon, University of Paris VII, Clichy-Paris, France.
Abstract
BACKGROUND: A novel technique of orthotopic liver transplantation was developed whereby both vena caval and portal venous blood flows are preserved during the entire procedure. PATIENTS AND METHODS: This method of liver transplantation was successfully performed in 51 consecutive patients and included a temporary portocaval shunt, a total hepatic resection with vena caval preservation, and an end-to-side cavocaval anastomosis. RESULTS: Preservation of vena cava and portocaval anastomosis were feasible in 51 patients (100%), including 34 patients with cirrhosis and 2 patients undergoing elective retransplantation. Both caval and portal flows were preserved during the entire procedure in 48 patients (94%). No venovenous bypass was required. Four deaths (7.8%) occurred postoperatively, all of them unrelated to the surgical procedure. CONCLUSION: We believe adoption of this orthotopic liver transplantation technique will obviate the need for venovenous bypass.
BACKGROUND: A novel technique of orthotopic liver transplantation was developed whereby both vena caval and portal venous blood flows are preserved during the entire procedure. PATIENTS AND METHODS: This method of liver transplantation was successfully performed in 51 consecutive patients and included a temporary portocaval shunt, a total hepatic resection with vena caval preservation, and an end-to-side cavocaval anastomosis. RESULTS: Preservation of vena cava and portocaval anastomosis were feasible in 51 patients (100%), including 34 patients with cirrhosis and 2 patients undergoing elective retransplantation. Both caval and portal flows were preserved during the entire procedure in 48 patients (94%). No venovenous bypass was required. Four deaths (7.8%) occurred postoperatively, all of them unrelated to the surgical procedure. CONCLUSION: We believe adoption of this orthotopic liver transplantation technique will obviate the need for venovenous bypass.
Authors: Maria Baimas-George; Kyle J Thompson; Michael D Watson; David A Iannitti; John B Martinie; Erin H Baker; David Levi; Dionisios Vrochides Journal: Langenbecks Arch Surg Date: 2021-02-16 Impact factor: 3.445
Authors: Giuseppe Maria Ettorre; Giovanni Battista Levi Sandri; Andrea Laurenzi; Marco Colasanti; Roberto Luca Meniconi; Raffaella Lionetti; Roberto Santoro; Pasquale Lepiane; Rosa Sciuto; Giuseppe Pizzi; Roberto Cianni; Rita Golfieri; Gianpiero D'Offizi; Adriano M Pellicelli; Mario Antonini; Giovanni Vennarecci Journal: World J Surg Date: 2017-01 Impact factor: 3.352
Authors: M Hosein Shokouh-Amiri; A Osama Gaber; W A Bagous; H P Grewal; D K Hathaway; S R Vera; R J Stratta; T N Bagous; T Kizilisik Journal: Ann Surg Date: 2000-06 Impact factor: 12.969
Authors: Sebastian Pratschke; Alexandra Rauch; Markus Albertsmeier; Markus Rentsch; Michaela Kirschneck; Joachim Andrassy; Michael Thomas; Werner Hartwig; Joan Figueras; Juan Del Rio Martin; Nicola De Ruvo; Jens Werner; Markus Guba; Maximilian Weniger; Martin K Angele Journal: World J Surg Date: 2016-12 Impact factor: 3.352
Authors: Olivier Detry; Arnaud De Roover; Carla Coimbra; Jean Delwaide; Marie-France Hans; Marie-Hélène Delbouille; Joseé Monard; Jean Joris; Pierre Damas; Jacques Belaïche; Michel Meurisse; Pierre Honoré Journal: World J Gastroenterol Date: 2007-03-07 Impact factor: 5.742
Authors: Seigo Nishida; Noboru Nakamura; Anil Vaidya; David M Levi; Tomoaki Kato; Jose R Nery; Juan R Madariaga; Enrique Molina; Phillip Ruiz; Anthony Gyamfi; Andreas G Tzakis Journal: HPB (Oxford) Date: 2006 Impact factor: 3.647