Portal vein replacement by hepatic vein transposition.
Successful reconstruction after portal vein resection in extended liver surgery has been performed by end-to-end anastomosis, patch, or graft interposition. Previously described techniques to obtain venous grafts for portal replacement necessarily have either an additional incision or an unsuitable diameter. We developed a new method of portal vein replacement using the excised hepatic vein. This technique can be applied in major liver resections for tumors infiltrating the portal vein that have a safe distance from the hepatic vein.
Lorf
T
T
Klinik für Transplantationshirurgie, Georg-August-Universität, Göttingen, Germany.
Hanack
U
U
Ringe
B
B
D006503:Hepatic Veins / Q000637:transplantation*; D006801:Humans; D008099:Liver / Q000601:surgery; D008113:Liver Neoplasms / Q000601:surgery; D011169:Portal Vein / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods