title: Right liver graft without middle hepatic vein reconstruction from a living donor.
abstract: A case of adult-to-adult, living-donor liver transplantation using a right liver graft is described. In the donor operation, when the middle hepatic vein (MHV) was clamped after hepatic transection, reversed flow was detected in MHV tributaries by intraoperative color Doppler ultrasonography. Regurgitated flow in the clamped inferior right hepatic vein was also demonstrated. Portal flow remained hepatopetal during the procedure. Based on these ultrasonographic findings, neither the MHV tributaries nor the inferior right hepatic vein was reconstructed.
authors.affiliation: Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, Tokyo 113-8655, Japan.
authors.forename: Matteo
authors.initials: M
authors.lastname: Cescon
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Sugawara
authors.forename: Keiji
authors.initials: K
authors.lastname: Sano
authors.forename: Takao
authors.initials: T
authors.lastname: Ohkubo
authors.forename: Junji
authors.initials: J
authors.lastname: Kaneko
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Makuuchi
mesh_terms: D000328:Adult; D006503:Hepatic Veins / Q000601:surgery*; D006801:Humans; D008102:Liver Circulation; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D014019:Tissue Donors; D018615:Ultrasonography, Doppler, Color