Hepatic venous outflow reconstruction in right lobe graft without middle hepatic vein.

Hepatic venous outflow reconstruction in right lobe graft without middle hepatic vein. Research Abstract Details 

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Hepatic venous outflow reconstruction in right lobe graft without middle hepatic vein. Abstract Text:

Hong Wu,Lu-Nan Yan,Bo Li,Yong Zeng,Tian-Fu Wen,Ji-Chun Zhao,Wen-Tao Wang,Jia-Yin Yang,Ming-Qing Xu,Zhe-Yu Chen,Qiang Lu,Hong-Zhi Luo,Jin Li,

Background: We explored the pattern of hepatic venous outflow reconstruction in adult right lobe (segments V5-8) living donor liver transplantation (LDLT) without the middle hepatic vein (MHV). The difficulty and challenge of LDLT without MHV is the outflow reconstruction of hepatic vein. We have modified the surgical procedure and here report the results. Methods: Retrospective analysis was made of the clinical data of 50 recipients who underwent LDLT using right lobe without MHV. Results: Forty-five recipients (90.0%, 45/50) are alive at median follow up of 10 months. The graft-to-recipient bodyweight ratio (GRWR) was 1.21% +/- 0.49% (range, 0.72% to 1.98%). The recipients of GRWR <0.8% (extra-small graft), 0.8% < GRWR < 1.2% (small graft) and GRWR > 1.2% (ideal graft) were 14, 27 and 9, respectively. Total ratio venous outflowreconstruction of V5, V8 and inferior right hepatic vein was 66.0% (33/50). The overall incidence of small-for-size syndrome was 10.0% (n = 5), the overall graft survival rate was 92.0% (46/50). Conclusions: Graft function and survival rates are not only influenced by graft size, but also by hepatic venous outflow reconstruction; the 'multiple-opening vertical anastomosis' for reconstruction of hepatic vein outflow was used when the GRWR was smaller than 1.2%. This technique alleviates surgical risk in living donors, ensures excellent venous drainage, and reduces the incidence of small-for-size syndrome.

Hepatic venous outflow reconstruction in right lobe graft without middle hepatic vein. Publishing Authors By Initials

H Wu,LN Yan,B Li,Y Zeng,TF Wen,JC Zhao,WT Wang,JY Yang,MQ Xu,ZY Chen,Q Lu,HZ Luo,J Li,

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Hepatic venous outflow reconstruction in right lobe graft without middle hepatic vein. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Hepatology research : the official journal of the

VOLUME: 37

Page Numbers: 1044-51

Journal Abbreviation: Hepatol. Res.

ISSN: 1386-6346

DAY: 21

MONTH: 07

YEAR: 2007

Hepatic venous outflow reconstruction in right lobe graft without middle hepatic vein. Information

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LANGUAGE: eng

NlmUniqueID: 9711801

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Grant and Affiliation Information for Hepatic venous outflow reconstruction in right lobe graft without middle hepatic vein.

AFFILIATION: Liver Transplantation Center, West China Hospital of Sichuan University, Chengdu, China.

Country: Netherlands

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MEDLINETA: Hepatol Res

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