| Single orifice vein reconstruction in left liver plus caudate lobe graft. | |
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MedLine Citation:
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PMID: 21033235 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND/AIMS: We describe the innovative techniques with single orifice vein reconstruction for the complete venous drainage in the left liver plus caudate lobe graft. METHODOLOGY: Eight left liver plus caudate lobe grafts used for living donor adult liver transplantation were reviewed. A wide and single venous orifice was created by gathering the left, middle or its tributaries, and/or short hepatic vein using a patch vein graft or a conduit vein graft. This single, newly-created orifice was then anastomosed to the common trunk created in the recipient's hepatic veins. RESULTS: Of 8 liver grafts, six included the middle hepatic vein trunk. Another two included only the middle hepatic vein tributaries. Significantly-sized short hepatic veins were preserved in 4 grafts and were connected with the major hepatic veins or tributaries of the middle hepatic vein to make a single orifice using a conduit vein graft. For remaining 4 grafts without significantly-sized short hepatic veins, two adjacent hepatic vein trunks (left and middle hepatic veins) were simply connected together. To enlarge the common orifice of the hepatic veins, the patch vein grafts were further attached. Hepatic vein waveforms of all grafts showed the biphasic or triphasic pattern and the graft congestion was not observed immediately after venoplasty. No graft was lost due to hepatic venous outflow block with the mean follow-up of 15 months. CONCLUSIONS: The short-term results of our technique were satisfactory. The present technique can simplify graft-to-recipient hepatic vein reconstruction without unfavorable tension on the anastomosis. |
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Authors:
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Yasushi Yamauchi; Tomoaki Noritomi; Yuichi Yamashita; Koji Mikami; Seiichiro Hoshino; Tetsuo Shinohara; Yoshiaki Takahashi; Naotaka Noda; Nobuhide Matsuoka; Takafumi Maekawa |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Hepato-gastroenterology Volume: 57 ISSN: 0172-6390 ISO Abbreviation: Hepatogastroenterology Publication Date: 2010 Jul-Aug |
Date Detail:
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Created Date: 2010-10-29 Completed Date: 2011-01-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8007849 Medline TA: Hepatogastroenterology Country: Greece |
Other Details:
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Languages: eng Pagination: 813-8 Citation Subset: IM |
Affiliation:
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Department of Gastroenterological Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan. yyama@fukuoka-u.ac.jp |
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| MeSH Terms | |
Descriptor/Qualifier:
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Cryopreservation Hepatic Veins / surgery* Humans Liver / pathology Liver Diseases / surgery* Liver Transplantation / methods* Organ Size Retrospective Studies Ultrasonography, Doppler |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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