Domino-liver transplantation represents a rare chance to expand the donor liver pool. Fear of putting both donor and recipient at disadvantage has meant that the procedure has not been applied universally. A modification of the original technique which allows both safe procurement of the graft as well as safe implantation of the reconstructed graft in the domino-graft recipient using a 180° rotated, adequately trimmed, free iliaco-caval venous graft is described in detail.
Lerut, J., Foguenne, M., Lai, Q., & de Ville de Goyet, J. (2021). Domino-liver transplantation: toward a safer and simpler technique in both donor and recipient. Updates in Surgery, 173(1), 223-232. https://doi.org/10.1007/s13304-020-00886-4 (Original work published 2021)