Reconstruction of venous outflow of domino liver graft using deceased donor iliac/cava veins.
The double piggyback technique has been proposed for domino liver transplantation. To make this possible, it is necessary to reconstruct the venous outflow of the domino liver graft on the back table. The authors describe the technical details of this procedure in three consecutive cases. A deceased donor cava-iliac bifurcation segment was used. The iliac veins were anastomosed to the ostia of the right and middle-left hepatic veins, and the graft cava vein was anastomosed to the ostium of the three hepatic veins of the recipient. In all cases anatomic compatibility was observed; the outcome of the patients was satisfactory.
Lacerda
C M
CM
Department of General Surgery and Liver Transplantation, Oswaldo Cruz Hospital, Pernambuco University, Brazil. cmlacerda1@hotmail.com
Miranda
L E C
LE
Amorim
A G
AG
Sabat
B D
BD
de Melo
P S V
PS
Neto
O F
OF
Adeodato
L
L
Leitão
L
L
Lemos
R
R
D002102:Cadaver; D006503:Hepatic Veins / Q000601:surgery*; D006801:Humans; D007084:Iliac Vein / Q000637:transplantation*; D008102:Liver Circulation; D016031:Liver Transplantation / Q000379:methods*; D019651:Plastic Surgery Procedures; D014019:Tissue Donors; D014682:Vena Cava, Inferior / Q000637:transplantation*