title: Complex outflow anatomy in left lateral lobe graft and modified venous reconstruction in pediatric living donor liver transplantation.
abstract: Hepatic venous outflow reconstruction is of critical significance in pediatric patients undergoing living donor liver transplantation. Accurate knowledge of the anatomical variations is important to obtain appropriate size segmental grafts. The diameter of the hepatic veins and the potential risk of complications at the level of the anastomosis require an adequate primary vascular reconstruction. We describe a venous outflow reconstruction technique, in a living related left lateral lobe graft, with unfavorable hepatic venous anatomy.
authors: The Liver Unit, Queen Elizabeth Hospital, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK.
authors: Nikolaos
authors: N
authors: Benetatos
authors: Irene
authors: I
authors: Scalera
authors: John R
authors: JR
authors: Isaac
authors: Darius F
authors: DF
authors: Mirza
authors: Paolo
authors: P
authors: Muiesan
mesh_terms: D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006503:Hepatic Veins / Q000601:surgery; D006801:Humans; D008099:Liver / Q000033:anatomy & histology / Q000098:blood supply* / Q000601:surgery; D008102:Liver Circulation / Q000502:physiology; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000556:secondary / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D018570:Risk Assessment; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods
keywords: graft outflow obstruction; hepatic vein anatomy of the left lateral liver; left hepatic vein; segmental pediatric liver transplantation; venous patch