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03-01-2024 | Liver Transplantation | How To Do It

Feasibility of venous cuff using an open round ligament or inferior mesenteric vein around the hepatic vein for a left lobe graft in living-donor liver transplantation

Authors: Takeo Toshima, Shinji Itoh, Kazutoyo Morita, Yoshihiro Nagao, Takeshi Kurihara, Takahiro Tomino, Yukiko Kosai-Fujimoto, Takahiro Tomiyama, Katsuya Toshida, Noboru Harada, Tomoharu Yoshizumi

Published in: Surgery Today | Issue 7/2024

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Abstract

Living-donor liver transplantation (LDLT) is an established treatment for patients with end-stage liver disease or acute liver failure, and outflow reconstruction is considered one of the most vital techniques in LDLT. To date, many strategies have been reported to prevent outflow obstruction, which can be refractory to liver dysfunction and can cause life-threatening graft loss or mortality. In addition, in this era of laparoscopic hepatectomy in donor surgery, especially LDLT using a left liver graft, it has been predicted that cutting the hepatic vein with automatic linear staplers will lead to more outflow-related problems than with conventional open hepatectomy because of the short neck of the anastomosis orifice. We herein review 10 cases of venoplasty performed with a novel venous cuff system using a donor’s round ligament around the hepatic vein in LDLT with a left lobe graft, which makes anastomosis of the hepatic vein sterically easy for postoperative venous patency.
Literature
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Metadata
Title
Feasibility of venous cuff using an open round ligament or inferior mesenteric vein around the hepatic vein for a left lobe graft in living-donor liver transplantation
Authors
Takeo Toshima
Shinji Itoh
Kazutoyo Morita
Yoshihiro Nagao
Takeshi Kurihara
Takahiro Tomino
Yukiko Kosai-Fujimoto
Takahiro Tomiyama
Katsuya Toshida
Noboru Harada
Tomoharu Yoshizumi
Publication date
03-01-2024
Publisher
Springer Nature Singapore
Published in
Surgery Today / Issue 7/2024
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-023-02791-w
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