Preservation of Recipient Middle Hepatic Vein for Drainage of Anterior Sector Veins in Adult-to-Adult Living-Donor Liver Transplantation

• Published in: Transplantation proceedings Vol. 41; no. 5; pp. 1687 - 1690
• Main Authors: Facciuto, M.E, Rodriguez-Davalos, M.I, Nagarajan, S, Singh, M.K, Rocca, J.P, Sheiner, P.A
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Inc 01.06.2009; Elsevier
• Subjects: Adult; Anastomosis, Surgical - methods; Biological and medical sciences; Fundamental and applied biological sciences. Psychology; Fundamental immunology; Hepatic Veins - physiology; Humans; Liver - diagnostic imaging; Liver Transplantation - methods; Liver, biliary tract, pancreas, portal circulation, spleen; Living Donors; Male; Medical sciences; Middle Aged; Organ Preservation - methods; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Tissue, organ and graft immunology; Tomography, X-Ray Computed; Human; Preservation; Digestive system; Living donor; Liver; Anterior; Recipient; Homotransplantation; Drainage; Medicine; Organ preservation; Treatment; Bypass; Hepatic vein; Surgery; Adult; Graft; Liver transplantation
• ISSN: 0041-1345; 1873-2623
• DOI: 10.1016/j.transproceed.2009.02.088

The inclusion of donor middle hepatic vein (MHV) in right-lobe living-donor grafts and the need for reconstruction of the MHV tributaries have long been controversial areas in living-donor liver transplantation. We report technical details in restoration of venous drainage of the anterior sector (segments V and VIII) of the right lobe of the liver graft using a preserved MHV from the recipient liver, and address the issue of reconstruction of donor MHV tributaries without use of an interposition graft. We review clinical situations in which restoration of outflow drainage of the anterior segment of the liver graft should be considered.