Versatility and viability of hepatic venoplasty in live donor liver transplantation using the right lobe with the middle hepatic vein.
Including the middle hepatic vein in the right lobe liver graft has the advantage of providing direct venous drainage of the right anterior segment. To allow unimpeded passage of blood flow, we previously designed venoplasty of the middle and right hepatic veins. We found that venoplasty is also feasible when the inferior right hepatic vein is near to the right hepatic vein, or when multiple segment 8 hepatic vein orifices are exposed adjacent to the middle hepatic vein at the graft transection surface. By joining the hepatic vein orifices into a single opening, the anastomosis into the inferior vena cava is much facilitated. The technique is simple, yet versatile, and able to cope with variation of the configurations of the hepatic vein.
Chan
See-Ching
SC
Department of Surgery, The University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong, China. seechingchan@gmail.com
Lo
Chung-Mau
CM
Liu
Chi-Leung
CL
Wong
Yik
Y
Fan
Sheng-Tat
ST
D000328:Adult; D006498:Hepatectomy / Q000379:methods*; D006503:Hepatic Veins / Q000601:surgery*; D006801:Humans; D019520:Living Donors; D020858:Tissue and Organ Harvesting / Q000379:methods*