Splitting of the middle hepatic vein in full-right full-left splitting of the liver.
Full-right/full-left splitting of the liver offers a chance to overcome the severe shortage of donor organs. During this procedure, the splitting surgeons are always faced with the question of how to share the middle hepatic vein (MHV), since this vein drains parts of both halves of the liver. Consequently, we developed a procedure that splits the MHV, thus creating an MHV on both grafts. In this short article, we report on this splitting technique and our first initial experience.
Broering
Dieter C
DC
Department of Hepatobiliary Surgery and Transplantation, University Hospital of Hamburg-Eppendorf, Hamburg, Germany. broering@uke.uni-hamburg.de
Bok
Pamela
P
Mueller
Lars
L
Wilms
Christian
C
Rogiers
Xavier
X
D000293:Adolescent; D000328:Adult; D002102:Cadaver; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006503:Hepatic Veins / Q000601:surgery*; D006801:Humans; D008099:Liver / Q000033:anatomy & histology; D008102:Liver Circulation; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D014019:Tissue Donors; D020858:Tissue and Organ Harvesting / Q000379:methods*; D016896:Treatment Outcome