Is right lobe liver graft without main right hepatic vein suitable for living donor liver transplantation?

Figure 1 Dissection plan between the right lobe of the liver and inferior vena cava. Intraoperative view of two inferior right hepatic veins draining the right lobe posterior sector. IRHV: Inferior right hepatic vein; IVC: Inferior vena cava.

Figure 2 The cryopreserved aortic vascular graft patch was placed between the four orifices as a quilt. After that the segment 8 hepatic vein orifice was extended to the drainage model using a cryopreserved saphenous vein graft. IRHV: Inferior right hepatic vein; V8: 8 vein; RHV: Right hepatic vein.

Figure 3 A common large opening drainage model was created using the cryopreserved saphenous vein graft. IRHV: Inferior right hepatic vein; V8: 8 vein; RHV: Right hepatic vein.

Figure 4 Postoperative contrast axial multidetector computed tomography image shows that the venous drainage model is functional.