A new technique for the reconstruction of complex portal vein anomalies in right lobe living liver donors.
Living donor liver right lobe transplantation using donors with variation of the right sectorial portal vein is considered a challenging procedure in terms of the donor's safety and the complexity of reconstruction in the recipient. We describe an innovative technique to reconstruct double portal vein orifices via a deceased donor iliac vein graft. The postoperative course of the recipient was uneventful. Doppler ultrasound on the fourth postoperative month revealed equivalent flow in both portal vein branches. Reconstruction of double right portal vein branches using a cryopreserved iliac vein is a valuable technique for utilizing right lobe grafts with challenging portal vein anatomy.
Hepatobiliary and Organ Transplant Center, Florence Nightingale Hospital, Istanbul, Turkey. onuryaprak@hotmail.com
Onur
O
Yaprak
Necdet
N
Guler
N Cem
NC
Balci
Murat
M
Dayangac
Tolga
T
Demirbas
Refik
R
Killi
Yaman
Y
Tokat
Yildiray
Y
Yuzer
D000328:Adult; D015925:Cryopreservation; D005260:Female; D006801:Humans; D007084:Iliac Vein / Q000637:transplantation*; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D011169:Portal Vein / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color