Combined en bloc liver/pancreas transplantation in two different patients

Figure 2 Modified en bloc CLPT while retaining the native pancreas. A piggy-back anastomosis of the grafted suprahepatic vena cava onto the native one was performed. A circular donor aortic patch including both the celiac trunk (CT) and the superior mesenteric artery (SMA) was anastomosed end-to-end to a donor aortic tube (DAT) that had been implanted previously on the native abdominal aorta (AA). The donor superior mesenteric vein (SMV) was anastomosed end-to-end to the native portal vein. Roux-Y anastomosis of the grafted distal duodenum and the native proximal jejunum was performed. HA: Donor hepatic artery; BD: Donor bile duct.