title: Portal flow modulation in auxiliary partial orthotopic liver transplantation.
abstract: APOLT is a suitable technique of liver transplantation in patients with ALF and some types of MLD. Portal venous steal is a problem with this procedure that leads to graft dysfunction and failure. Modulation of the portal flow to the graft and native liver can help in preventing this problem. We discuss the pathophysiology of this complication, review available literature regarding its management, and describe our results using the technique of graded hemiportal banding to achieve adequate perfusion for the graft and native liver.
authors.affiliation: Institute of Liver Disease & Transplantation, Global Hospital & Health City, National Foundation for Liver Research, Chennai, Tamil Nadu, India; Institute of Liver Studies, Kings College Hospital, Denmark Hill, London, UK.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Rela
authors.forename: Anand
authors.initials: A
authors.lastname: Bharathan
authors.forename: Kumar
authors.initials: K
authors.lastname: Palaniappan
authors.forename: Pradeep T
authors.initials: PT
authors.lastname: Cherian
authors.forename: Mettu S
authors.initials: MS
authors.lastname: Reddy
mesh_terms: D000328:Adult; D002675:Child, Preschool; D005260:Female; D006085:Graft Survival; D006439:Hemodynamics; D006801:Humans; D007223:Infant; D017093:Liver Failure / Q000601:surgery; D008115:Liver Regeneration; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D017082:Portal Pressure; D011169:Portal Vein / Q000601:surgery*; D013514:Surgical Procedures, Operative; D016896:Treatment Outcome
keywords: auxiliary liver transplantation; inflow modulation; metabolic liver disease; portal hemodynamics; portal steal