Preservation of recipient middle hepatic vein for drainage of anterior sector veins in adult-to-adult living-donor liver transplantation.
The inclusion of donor middle hepatic vein (MHV) in right-lobe living-donor grafts and the need for reconstruction of the MHV tributaries have long been controversial areas in living-donor liver transplantation. We report technical details in restoration of venous drainage of the anterior sector (segments V and VIII) of the right lobe of the liver graft using a preserved MHV from the recipient liver, and address the issue of reconstruction of donor MHV tributaries without use of an interposition graft. We review clinical situations in which restoration of outflow drainage of the anterior segment of the liver graft should be considered.
Facciuto
M E
ME
Liver Transplant and Hepatobiliary Surgery/Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York 10595 , USA. facciutome@wcmc.com
Rodriguez-Davalos
M I
MI
Nagarajan
S
S
Singh
M K
MK
Rocca
J P
JP
Sheiner
P A
PA
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D006503:Hepatic Veins / Q000502:physiology*; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D009926:Organ Preservation / Q000379:methods*; D014057:Tomography, X-Ray Computed