Venous Outflow Reconstruction in Adult Living Donor Liver Transplant : Outcome of a Policy for Right Lobe Grafts without the Middle Hepatic Vein
Joint Authors
El-Gendy, Magdy
Ghazaly, Mohamed
Badawy, Mohamad T.
Soliman, Hosam El-Din
Davidson, Brian R.
Ibrahim, Tarek
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-30
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Introduction.
The difficulty and challenge of recovering a right lobe graft without MHV drainage is reconstructing the outflow tract of the hepatic veins.
With the inclusion or the reconstruction of the MHV, early graft function is satisfactory.
The inclusion of the MHV or not in the donor’s right lobectomy should be based on sound criteria to provide adequate functional liver mass for recipient, while keeping risk to donor to the minimum.
Objective.
Reviewing the results of a policy for right lobe grafts transplant without MHV and analyzing methods of venous reconstruction related to outcome.
Materials and Methods.
We have two groups Group A (with more than one HV anast.) (n=16) and Group B (single HV anast.) (n=24).
Both groups were compared regarding indications for reconstruction, complications, and operative details and outcomes, besides describing different modalities used for venous reconstruction.
Results.
Significant increase in operative details time in Group A.
When comparison came to complications and outcomes in terms of laboratory findings and overall hospital stay, there were no significant differences.
Three-month and one-year survival were better in Group A.
Conclusion.
Adult LDLT is safely achieved with better outcome to recipients and donors by recovering the right lobe without MHV, provided that significant MHV tributaries (segments V, VIII more than 5 mm) are reconstructed, and any accessory considerable inferior right hepatic veins (IRHVs) or superficial RHVs are anastomosed.
American Psychological Association (APA)
Ghazaly, Mohamed& Badawy, Mohamad T.& Soliman, Hosam El-Din& El-Gendy, Magdy& Ibrahim, Tarek& Davidson, Brian R.. 2013. Venous Outflow Reconstruction in Adult Living Donor Liver Transplant : Outcome of a Policy for Right Lobe Grafts without the Middle Hepatic Vein. HPB Surgery،Vol. 2013, no. 2013, pp.1-11.
https://search.emarefa.net/detail/BIM-459951
Modern Language Association (MLA)
Ghazaly, Mohamed…[et al.]. Venous Outflow Reconstruction in Adult Living Donor Liver Transplant : Outcome of a Policy for Right Lobe Grafts without the Middle Hepatic Vein. HPB Surgery No. 2013 (2013), pp.1-11.
https://search.emarefa.net/detail/BIM-459951
American Medical Association (AMA)
Ghazaly, Mohamed& Badawy, Mohamad T.& Soliman, Hosam El-Din& El-Gendy, Magdy& Ibrahim, Tarek& Davidson, Brian R.. Venous Outflow Reconstruction in Adult Living Donor Liver Transplant : Outcome of a Policy for Right Lobe Grafts without the Middle Hepatic Vein. HPB Surgery. 2013. Vol. 2013, no. 2013, pp.1-11.
https://search.emarefa.net/detail/BIM-459951
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-459951