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ANATOMICAL VARIATIONS AND SURGICAL OUTCOMES OF SINGLE ORIFICE OUTFLOW RECONSTRUCTION IN LIVING DONOR LIVER TRANSPLANTATION USING EXTENDED RIGHT LOBE GRAFT
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Abstract
Objective: To evaluate the anatomical variations and surgical outcomes of single orifice hepatic venous outflow reconstruction in extended right lobe graft living donor liver transplantation. Subject and method: The prospective study was performed on 42 cases of living donor liver transplantation using extended right lobe graft at 108 Military Central Hospital from January 2019 to December 2020. Results: There were 42 cases of using the extended right lobe graft living donor liver transplant including the middle hepatic vein. We conjoined the MHV and RHV as a single orifice hepatic vein. The hepatic veins were enlarged to the left and downwards at the orifice of the recipient's right hepatic vein, with a mean incision length of 12 mm and 8.6 mm, respectively. There were 1 case of middle hepatic vein obstruction (2.3%). Conclusion: The single orifice hepatic vein reconstruction in LDLT using an extended right lobe graft is a simple and feasible surgical technique.
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Keywords
living donor liver transplantation, hepatic venous outflow reconstruction.
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