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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.
References
2. Piardi T., Lhuaire M., Bruno O., et al. (2016). “Vascular complications following liver transplantation: A literature review of advances in 2015”. World J Hepatol, 8 (1): 36–57.
3. Hoàng Đức Nam., Đào Đức Dũng., Chu C.W và cs. (2019). “Kết quả bước đầu ghép gan từ người cho sống dùng mảnh ghép gan phải tại Bệnh viện Vinmec”. Tạp chí Gan mật Việt Nam, 39: 30-39.
4. Fan S.T., Wei W.L, et al., Living donor liver transplantation. 2nd ed. 2011, Singapore: World Scientific.
5. Moon D.B., Lee S.G., Chung Y.K., et al. (2019). “Over 500 liver transplants including more than 400 living-donor liver transplants in 2019 at Asan Medical Center”. Transplantation Proceedings, XX: 1-9.
6. Marcos A. (2000). “Right lobe living donor liver transplantation: A review”. Liver Transplantation, 6 (1): 3-20.
7. Ito K., Akamatsu N., Tani K., et al. (2015). “Reconstruction of hepatic venous tributary in right liver living donor liver transplantation: The importance of the inferior right hepatic vein”. Liver Transplantation, 22: 410-419.
8. Chan S.C., Fan S.T. (2008). “Historical perspective of living donor liver transplantation”. World J Gastroenterol 14 (1): 15-21.
9. Soejima Y., Ueda N., Fukuhara T., et al. (2008). “One-step venous reconstruction for a right lobe graft with multiple venous orifices in living donor liver transplantation”. Liver Transpl, 14: 706–8.
10. Dayangac M., Tokat Y. (2016). “The evolution of anterior sector venous drainage in right lobe living donor liver transplantation: does one technique fit all?”. Hepatobiliary Surg Nutr, 5 (2): 151-158.