Complex hepatic outflow reconstruction in domino liver transplantation.
(2014) Hepatobiliary & Pancreatic Diseases International — Vol. 13, n° 1, p. 98-100 (2014)
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- Abstract
- Domino liver transplantation has been accepted as a safe procedure to further expand the organ donor pool. The most important technical challenge of the procedure resides in restoring a proper hepatic venous allograft outflow in the familial amyloidotic polyneuropathy-liver recipient. To overcome this issue, combined techniques were used to perform an innovative outflow reconstruction. A domino liver transplantation was successfully performed with reconstruction of complex venous outflow. The inferior vena cava sparing hepatectomy technique in the familial amyloidotic polyneuropathy-donor was used to cut the hepatic vein to the liver parenchyma. To overcome this issue the venous outflow tract was reconstructed using a longitudinally opened iliac vein graft from a post-mortem donor to create a new outflow tract using a diamond patch between the right and middle/left hepatic veins.
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Pinheiro, R., Lai, Q., Dahrenmoller, C., & Lerut, J. (2014). Complex hepatic outflow reconstruction in domino liver transplantation. Hepatobiliary & Pancreatic Diseases International, 13(1), 98-100. https://doi.org/10.1016/S1499-3872(14)60014-X (Original work published 2014)