title: Reconstruction of the middle hepatic vein tributaries draining segments V and VIII of a right liver graft by using the recipient's own middle hepatic vein and vascular closure staples.
abstract: A right liver graft lacking the middle hepatic vein can result in congestion of the anterior segment. We describe a method of reconstructing the middle hepatic vein tributaries by using the recipient's own middle hepatic vein with vascular closure staples. During a living donor right liver transplantation, the middle hepatic vein tributaries draining segments V (V5) and VIII (V8) of the right lobe graft were reconstructed using the recipient's own middle hepatic vein and secured with vascular closure staples. Computed tomography showed good venous outflow from the middle hepatic vein and no congestion or atrophy of the anterior segment of the right liver grafts. Thus, using the recipient's own middle hepatic vein is a suitable option for reconstructing the middle hepatic vein tributaries (V8 and V5) in right-liver living donor transplantation and the application of vascular closure staples helps to accomplish this.
authors.affiliation: Second Department of Surgery, Faculty of Medicine, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Tashiro
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Itamoto
authors.forename: Hideki
authors.initials: H
authors.lastname: Ohdan
authors.forename: Akihiko
authors.initials: A
authors.lastname: Oshita
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Fudaba
authors.forename: Kohei
authors.initials: K
authors.lastname: Ishiyama
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Kohashi
authors.forename: Hironobu
authors.initials: H
authors.lastname: Amano
authors.forename: Saburo
authors.initials: S
authors.lastname: Fukuda
authors.forename: Toshimasa
authors.initials: T
authors.lastname: Asahara
mesh_terms: D006498:Hepatectomy / Q000379:methods*; D006503:Hepatic Veins / Q000601:surgery*; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000601:surgery; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods; D013537:Sutures; D014656:Vascular Surgical Procedures / Q000379:methods