Simplified technique for middle hepatic vein tributary reconstruction of a right hepatic graft in adult living donor liver transplantation.
A simple procedure of direct end-to-end anastomosis between the middle hepatic vein tributary of the right hepatic graft and the preserved recipient middle hepatic vein is described. During the final step of total hepatectomy in the recipient, the middle hepatic vein was preserved, while crushing the liver tissue for a sufficient length of middle hepatic vein to perform tension-free anastomosis with the middle hepatic vein tributary of the graft. This procedure enabled us to avoid using an interposition graft.
Takatsuki
Mitsuhisa
M
Department of Transplantation and Digestive Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. takapon@net.nagasaki-u.ac.jp
Miyamoto
Shungo
S
Kamohara
Yukio
Y
Kawashita
Yujo
Y
Tajima
Yoshitsugu
Y
Kanematsu
Takashi
T
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D006498:Hepatectomy / Q000379:methods; D006503:Hepatic Veins / Q000601:surgery*; D006509:Hepatitis B / Q000601:surgery; D006526:Hepatitis C / Q000601:surgery; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D008875:Middle Aged