Standardized surgical techniques for adult living donor liver transplantation using a modified right lobe graft : a video presentation from bench to reperfusion :a video presentation from bench to reperfusion

Shin Hwang; Tae-Yong Ha; Chul-Soo Ahn; Deok-Bog Moon; Ki-Hun Kim; Gi-Won Song; Dong-Hwan Jung; Gil-Chun Park; Sung-Gyu Lee

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자료유형: 학술저널

저자정보: Shin Hwang (University of Ulsan College of Medicine) Tae-Yong Ha (University of Ulsan College of Medicine) Chul-Soo Ahn (University of Ulsan College of Medicine) Deok-Bog Moon (University of Ulsan College of Medicine) Ki-Hun Kim (University of Ulsan College of Medicine) Gi-Won Song (University of Ulsan College of Medicine) Dong-Hwan Jung (University of Ulsan College of Medicine) Gil-Chun Park (University of Ulsan College of Medicine) Sung-Gyu Lee (University of Ulsan College of Medicine)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제20권 제3호

발행연도: 2016.8

수록면: 97 - 101 (5page)

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After having experienced more than 2,000 cases of adult living donor liver transplantation (LDLT), we established the concepts of right liver graft standardization. Right liver graft standardization intends to provide hemodynamics-based and regeneration-compliant reconstruction of vascular inflow and outflow. Right liver graft standardization consists of the following components: Right hepatic vein reconstruction includes a combination of caudal-side deep incision and patch venoplasty of the graft right hepatic vein to remove the acute angle between the graft right hepatic vein and the inferior vena cava; middle hepatic vein reconstruction includes interposition of a uniform-shaped conduit with large-sized homologous or prosthetic grafts; if the inferior right hepatic vein is present, its reconstruction includes funneling and unification venoplasty for multiple short hepatic veins; if donor portal vein anomaly is present, its reconstruction includes conjoined unification venoplasty for two or more portal vein orifices. This video clip that shows the surgical technique from bench to reperfusion was a case presentation of adult LDLT using a modified right liver graft from the patient’s son. Our intention behind proposing the concept of right liver graft standardization is that it can be universally applicable and may guarantee nearly the same outcomes regardless of the surgeon’s experience. We believe that this reconstruction model would be primarily applied to a majority of adult LDLT cases.

#Modified right lobe graft #Right hepatic vein #Middle hepatic vein #Interposition graft #Living donor liver transplantation

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