[A case of successful multi-venous reconstruction using recipient's jugular vein in right lobe-living donor liver transplantation].

Mizue Matsuo, Toru Ikegami, Kazutoyo Morita, Hiroko Yano, Naotaka Hashimoto, Hiroto Kayashima, Toshirou Masuda, Naoko Kondou, Tomoharu Yoshizumi, Akinobu Taketomi, Ken Shirabe, Yoshihiko Maehara

Research output: Contribution to journalArticle

Abstract

In right lobe-living donor liver transplantation (RT-LDLT), hepatic venous reconstruction of the graft is essential to prevent posttansplant graft congestion and have a good outcome. The patient was a 56-year-old man who had decompensated liver cirrhosis secondary hepatitis C with massive ascites, jaundice and hepatic encephalopathy. He underwent LDLT using his son's right lobe graft. Preoperative simulation by 3D-CT volumetry revealed that the right lobe graft needed multi-venous reconstruction for right inferior hepatic vein (RIHV) and middle hepatic venous tributaries. Preoperative CT scan revealed that the recipient had portal venous thrombus and stenosis, which meant that the recipient's explanted portal vein (EPV) was not suitable for the venous reconstruction of the right lobe graft. Therefore, the recipient's internal and external jugular veins (IJV and EJV) were procured for venous reconstruction. The multiple veins of the right lobe graft were reconstructed to have single co-orifice at the backtable, and the co-orifice was anastomosed to inferior vena cava in short time. The recipient discharged on postoperative day 22 with good venous patency. In RT-LDLT unavailable for recipient's EPV, recipient's IJV and EJV grafts are very useful for multi-venous reconstruction.

Original languageEnglish
Pages (from-to)186-190
Number of pages5
JournalUnknown Journal
Volume103
Issue number9
Publication statusPublished - Sep 2012

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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