| Living-donor liver transplantation using the left liver, with special reference to vein reconstruction. | |
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MedLine Citation:
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PMID: 12589134 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The authors describe their techniques for hepatic vein reconstruction, devised for safe living-donor liver transplantation using a left liver graft. End-to-end anastomosis of the hepatic veins is performed to prevent an outflow occlusion. To ensure adequate hepatic venous flow, it is necessary to obtain a wide ostium and sufficient length of the hepatic vein for anastomosis, which should be secured by venoplasty of the hepatic veins of the graft and the recipient. A left liver with a caudate lobe graft is useful for overcoming the problem of a small graft. Reconstruction of the short hepatic vein of the caudate lobe may allow this portion to regenerate at the same rate as the left liver. In a left liver graft without the trunk of the middle hepatic vein, reconstruction of a tributary of this vein might be necessary to prevent graft congestion in segment IV. Color Doppler ultrasonography or a hepatic arterial clamping test should be performed in donor hepatectomy to evaluate the need for middle hepatic vein reconstruction. |
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Authors:
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Masatoshi Makuuchi; Yasuhiko Sugawara |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Transplantation Volume: 75 ISSN: 0041-1337 ISO Abbreviation: Transplantation Publication Date: 2003 Feb |
Date Detail:
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Created Date: 2003-02-17 Completed Date: 2003-03-11 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0132144 Medline TA: Transplantation Country: United States |
Other Details:
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Languages: eng Pagination: S23-4 Citation Subset: IM |
Affiliation:
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Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan. makuuchi-tky@umin.ac.jp. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Hepatic Veins
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surgery* Humans Liver Transplantation / methods* Living Donors* Vascular Surgical Procedures |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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