Document Detail

A new technique of hepatic vein reconstruction in partial liver transplantation.
MedLine Citation:
PMID:  3075916     Owner:  NLM     Status:  MEDLINE    
The shortage of pediatric donor livers has stimulated the development of advanced surgical approaches such as partial liver transplantation, which produces the same results as whole organ replacement. Differences in body weight between donor and recipient of more than four times, however, usually necessitate extended reduction hepatectomy and modified ways of performing vascular reconstruction. Therefore, following ex vivo "trisegmentectomy," a new technique of hepatic venous drainage was developed with an end-to-side anastomosis of the left donor hepatic vein to the preserved recipient inferior vena cava. This operative technique was applied to four children, one of whom had a retransplantation performed in exactly the same fashion. There were no specific complications related to this particular surgical technique. From our preliminary experience we conclude that reduced-size liver transplantation can be safely performed with the described type of hepatic vein reconstruction, especially when large donor organs have to be used for small children.
B Ringe; R Pichlmayr; M Burdelski
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Transplant international : official journal of the European Society for Organ Transplantation     Volume:  1     ISSN:  0934-0874     ISO Abbreviation:  Transpl. Int.     Publication Date:  1988 Apr 
Date Detail:
Created Date:  1989-09-01     Completed Date:  1989-09-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8908516     Medline TA:  Transpl Int     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  30-5     Citation Subset:  IM    
Zentrum Chirurgie, Klinik für Abdominal- und Transplantationschirurgie, Medizinische Hochschule, Hannover, Federal Republic of Germany.
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MeSH Terms
Body Weight
Child, Preschool
Graft Rejection
Hepatic Veins / surgery*
Liver / pathology,  surgery
Liver Transplantation*
Organ Size

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