DSpace university logo mark
Advanced Search
Japanese | English 

NAOSITE : Nagasaki University's Academic Output SITE > University Hospital > Articles in academic journal >

Technical Refinement of Hepatic Vein Reconstruction in Living Donor Liver Transplantation Using Left Liver Graft


File Description SizeFormat
AnnTran20_290.pdf400.9 kBAdobe PDFView/Open

Title: Technical Refinement of Hepatic Vein Reconstruction in Living Donor Liver Transplantation Using Left Liver Graft
Authors: Takatsuki, Mitsuhisa / Soyama, Akihiko / Hidaka, Masaaki / Kinoshita, Ayaka / Baimakhanov, Zhassulan / Kugiyama, Tota / Adachi, Tomohiko / Kitasato, Amane / Kuroki, Tamotsu / Eguchi, Susumu
Issue Date: 30-Mar-2015
Publisher: International Scientific Information, Inc.
Citation: Annals of Transplantation, 20, pp.290-296; 2015
Abstract: Background: In adult living donor liver transplantation (LDLT), left liver graft is generally safer for the donor. The aim of this study was to demonstrate a technical refinement for achieving sufficient outflow using left liver graft. Material/Methods: Forty-seven cases using left liver were divided into 2 groups according to the procedures of hepatic vein reconstruction: the side-clamp group (21 cases), and the cross-clamp group (26 cases), to sufficiently enlarge the diameter of the hepatic vein with excising the inferior vena cava (IVC). Results: The liver function tests at 7 days after LDLT were not significantly different between the 2 groups, but the median amount of ascites was significantly greater in the side-clamp group (1250 ml; range, 484–3690) than in the cross-clamp group (582 ml; 190–2785). When we selected the patients with the ratio of graft weight to recipient standard liver volume less than 30%, the 1-year patient survival after transplantation was significantly better in the cross-clamp group than in the side-clamp group (90% in cross-clamp group vs. 71% in side-clamp group, P>0.05). Conclusions: In conclusion, hepatic vein reconstruction with cross-clamping of the IVC can secure a sufficient outflow in LDLT using left liver graft.
Keywords: Hepatic veins / Liver transplantation / Living donors
URI: http://hdl.handle.net/10069/35672
DOI: 10.12659/AOT.893136
Rights: © International Scientific Information / This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0).
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/35672

All items in NAOSITE are protected by copyright, with all rights reserved.

 

Valid XHTML 1.0! Copyright © 2006-2015 Nagasaki University Library - Feedback Powerd by DSpace