Piggyback transplantation with side-to-side cavocavostomy is an ideal technique for right split liver allograft implantation.
BACKGROUND
Split liver grafting has not gained wide acceptance mainly because of different vascular and biliary technical problems.


METHODS
A new technique of right split liver transplantation is described. The piggyback implantation technique, using wide side-to-side cavocavostomy overcomes problems encountered when sharing the superhepatic vena cava cuff between two livers and obtains optimal drainage of venous allograft outflow, thus avoiding extensive bleeding at the transection margin.


RESULTS
This technique was successfully used in two adult recipients.


CONCLUSIONS
Piggyback transplantation using wide side-to-side cavocavostomy allows easy and safe implantation of the right split liver allograft.
Department of Digestive Surgery, University Hospital St-Luc, Catholic University of Louvain, Brussels, Belgium.
J
J
Lerut
J
J
de Ville de Goyet
M
M
Donataccio
R
R
Reding
J B
JB
Otte
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D014682:Vena Cava, Inferior / Q000601:surgery*