A new vascular approach to the modified multivisceral graft procurement.
Modified multivisceral (MMV) transplantation including the stomach, pancreaticoduodenal complex and intestine requires preservation of the left gastric and splenic arteries. The previously described techniques require division of the hepatic artery proximal to the gastroduodenal artery leaving the liver transplant team with a very short and small caliber vessel. To increase MMV graft availability and provide the liver transplant team with an appropriate quality vessel, we developed the following technique. We also describe two cases where we used this method to support the technical feasibility of this procedure.
Fridell
Jonathan A
JA
Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA. jfridell@iupui.edu
Joseph Tector
A
A
Mangus
Richard S
RS
Kazimi
Marwan M
MM
Hollinger
Edward F
EF
Vianna
Rodrigo M
RM
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D002648:Child; D003106:Colon / Q000098:blood supply / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008099:Liver / Q000098:blood supply*; D016031:Liver Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000379:methods*; D013270:Stomach / Q000098:blood supply / Q000637:transplantation*; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000379:methods*; D014656:Vascular Surgical Procedures / Q000379:methods*; D055815:Young Adult