Maximizing venous outflow after right hepatic living donor liver transplantation with a venous graft patch

Shugo Mizuno, Ryo Sanda, Tomohide Hori, Shintaro Yagi, Taku Iida, Masanobu Usui, Hiroyuki Sakurai, Masami Tabata, Shuji Isaji, Shinji Uemoto

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)

Abstract

Between March 2002 and September 2004, 36 patients at Mie University Hospital underwent living donor liver transplantation (LDLT) of a right lobe graft without the middle hepatic vein. The patients were divided into two groups: group I (n = 25) received ordinary hepatic vein anastomoses, and group II (n = 11) received a venous graft patch in the subsequent procedure. Between groups, we compared hepatic vein blood flow (ultrasound), liver volume (CT scan), laboratory data, and ascitic fluid volume. Outflow block developed as a complication in 1 patient in group I. Hepatic vein blood flow on postoperative day (POD) 3 was significantly better in group II, and hepatic vein waveforms of most group II patients showed the triphasic pattern, especially on PODs 3 and 5. The total bilirubin and aspartate aminotransferase values on POD 1 were significantly better in group II, and daily ascitic fluid volume on PODs 3 and 5 was significantly lower in group II. Thus, modified venoplasty with a graft patch in the right hepatic LDLT not only improved hepatic vein hemodynamics (based on the ultrasound findings), but also improved liver function and decreased daily ascitic fluid volume.

Original languageEnglish
Pages (from-to)67-73
Number of pages7
JournalDigestive Surgery
Volume25
Issue number1
DOIs
Publication statusPublished - 04-2008
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

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