Five right hepatic vein reconstructions using the autologous saphenous vein in the right lobe living-donor liver transplant: a case report.
In living-donor liver transplant, hepatic venous anomalies are not rare. Despite numerous techniques developed over the years, the best way of establishing a patent and durable hepatic drainage system remains controversial. We present a case where we successfully reconstructed 5 hepatic venous structures with a combination of direct anastomosis and saphenous vein interposition. Careful planning before surgery, and a customized approach for the patient on the back table, brought about successful results.
Medicana International Ankara Hospital, Department of Transplantation, Ankara, Turkey.
Ulas
U
Sozener
Kamil
K
Gulpinar
Yusuf
Y
Ozer
Jehat
J
Kutlay
Kaan
K
Karayalcin
Sadik
S
Ersoz
D000714:Anastomosis, Surgical; D064592:Autografts; D005260:Female; D006503:Hepatic Veins / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D006509:Hepatitis B / Q000150:complications; D006801:Humans; D008103:Liver Cirrhosis / Q000175:diagnosis / Q000601:surgery* / Q000821:virology; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008875:Middle Aged; D010690:Phlebography / Q000379:methods; D019651:Plastic Surgery Procedures; D012501:Saphenous Vein / Q000637:transplantation*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D058017:Vascular Grafting