Portal vein reconstruction in adult living donor liver transplantation using cryopreserved vein grafts.
No data are available for the management of venous jump or interposition conduits for portal vein (PV) reconstruction in adult living donor liver transplantation (LDLT). The feasibility of using cryopreserved vein grafts as PV conduits was examined. Cryopreserved vein (n = 23) was used as a patch, interposition, or jump graft. The patency results were compared with those of anastomosis without vein patch (n = 217) or those with vein autografts (n = 10). The 5-yr primary and secondary patency rates of the cryopreserved vein grafts were 58% and 79%, respectively. In conclusion, our data indicate that the use of cryopreserved vein grafts should be limited as conduits in PV reconstruction in adult LDLT.
Sugawara
Yasuhiko
Y
Artificial Organ and Transplantation Division, Graduate School of Medicine, University of Tokyo and University of Tokyo Tissue Bank, Bunkyo-ku, Tokyo, Japan. yasusuga-tky@umin.ac.jp
Makuuchi
Masatoshi
M
Tamura
Sumihito
S
Matsui
Yuichi
Y
Kaneko
Junichi
J
Hasegawa
Kiyoshi
K
Imamura
Hiroshi
H
Kokudo
Norihiro
N
Motomura
Noboru
N
Takamoto
Shinichi
S
D000328:Adult; D000714:Anastomosis, Surgical; D015925:Cryopreservation; D005260:Female; D006083:Graft Occlusion, Vascular; D006085:Graft Survival; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D011169:Portal Vein / Q000601:surgery*; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D015996:Survival Rate; D019737:Transplants; D014654:Vascular Patency; D014656:Vascular Surgical Procedures / Q000379:methods*