A new technique for the reconstruction of complex portal vein anomalies in right lobe living liver donors

Yaprak O., Guler N., Balci N. C., DAYANGAÇ M., Demirbas T., Killi R., ...More

Hepatobiliary and Pancreatic Diseases International, vol.11, no.4, pp.438-441, 2012 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 11 Issue: 4
  • Publication Date: 2012
  • Doi Number: 10.1016/s1499-3872(12)60205-7
  • Journal Name: Hepatobiliary and Pancreatic Diseases International
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.438-441
  • Keywords: liver transplantation, living donor, portal vein variations, venous plasty
  • Istanbul Medipol University Affiliated: Yes

Abstract

Living donor liver right lobe transplantation using donors with variation of the right sectorial portal vein is considered a challenging procedure in terms of the donor's safety and the complexity of reconstruction in the recipient. We describe an innovative technique to reconstruct double portal vein orifices via a deceased donor iliac vein graft. The postoperative course of the recipient was uneventful. Doppler ultrasound on the fourth postoperative month revealed equivalent flow in both portal vein branches. Reconstruction of double right portal vein branches using a cryopreserved iliac vein is a valuable technique for utilizing right lobe grafts with challenging portal vein anatomy. © 2012, Hepatobiliary Pancreat Dis Int. All rights reserved.