TY - JOUR
T1 - One-step venous reconstruction using the donor’s round ligament in right-lobe living-donor liver transplantation
AU - Toshima, Takeo
AU - Ikegami, Toru
AU - Matsumoto, Yoshihiro
AU - Yoshiya, Shohei
AU - Harimoto, Norifumi
AU - Yamashita, Yo ichi
AU - Yoshizumi, Tomoharu
AU - Ikeda, Tetsuo
AU - Shirabe, Ken
AU - Maehara, Yoshihiko
PY - 2015
Y1 - 2015
N2 - We herein report the use of an opened round ligament as a venous patch graft for inferior right hepatic vein (IRHV) reconstruction and anastomosis to the inferior vena cava (IVC) in living-donor liver transplantation (LDLT) using a right-lobe (RL) graft. After laparotomy, the donor’s round ligament was harvested and opened, and the semi-transparent umbilical vein, which was 7.0 cm in length and 3.0 cm in width, was carefully trimmed on the back table for use as a patch graft. The right hepatic vein of the graft was anastomosed to the harvested patch, and the IRHV was anastomosed to an independent hole made in the wall on the other side of the patch, to form a bridged vascular patch for anastomosis to the IVC. The interposition graft filled promptly and provided a good outflow from the posterior segment. This is the first report of venous reconstruction using a donor’s round ligament graft in RL-LDLT.
AB - We herein report the use of an opened round ligament as a venous patch graft for inferior right hepatic vein (IRHV) reconstruction and anastomosis to the inferior vena cava (IVC) in living-donor liver transplantation (LDLT) using a right-lobe (RL) graft. After laparotomy, the donor’s round ligament was harvested and opened, and the semi-transparent umbilical vein, which was 7.0 cm in length and 3.0 cm in width, was carefully trimmed on the back table for use as a patch graft. The right hepatic vein of the graft was anastomosed to the harvested patch, and the IRHV was anastomosed to an independent hole made in the wall on the other side of the patch, to form a bridged vascular patch for anastomosis to the IVC. The interposition graft filled promptly and provided a good outflow from the posterior segment. This is the first report of venous reconstruction using a donor’s round ligament graft in RL-LDLT.
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U2 - 10.1007/s00595-014-1004-3
DO - 10.1007/s00595-014-1004-3
M3 - Article
C2 - 25231939
AN - SCOPUS:84924943329
SN - 0941-1291
VL - 45
SP - 522
EP - 525
JO - Surgery Today
JF - Surgery Today
IS - 4
ER -