Copyright
©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Transplant. Dec 24, 2015; 5(4): 145-153
Published online Dec 24, 2015. doi: 10.5500/wjt.v5.i4.145
Published online Dec 24, 2015. doi: 10.5500/wjt.v5.i4.145
Venous outflow reconstruction in living donor liver transplantation: Dealing with venous anomalies
Long-Bin Jeng, Ashok Thorat, Horng-Ren Yang, Organ Transplantation Center, China Medical University Hospital, Taichung 40447, Taiwan
Long-Bin Jeng, Horng-Ren Yang, Department of Surgery, China Medical University Hospital, Taichung 40447, Taiwan
Ping-Chun Li, Department of Cardio-vascular Surgery, China Medical University Hospital, Taichung 40447, Taiwan
Author contributions: Jeng LB and Thorat A designed the structure, searched the literature and wrote the article; Yang HR and Li PC provided the details of techniques, and images.
Conflict-of-interest statement: Authors have no conflicts of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Long-Bin Jeng, MD, Organ Transplantation Center, China Medical University Hospital, 2, Yuh-Der Road, Taichung 40447, Taiwan. otc@mail.cmuh.org.tw
Telephone: +886-4-22052121-1765 Fax: +886-4-22029083
Received: June 28, 2015
Peer-review started: July 5, 2015
First decision: July 28, 2015
Revised: August 30, 2015
Accepted: September 29, 2015
Article in press: September 30, 2015
Published online: December 24, 2015
Peer-review started: July 5, 2015
First decision: July 28, 2015
Revised: August 30, 2015
Accepted: September 29, 2015
Article in press: September 30, 2015
Published online: December 24, 2015
Core Tip
Core tip: Outflow reconstruction in living donor liver transplantation is crucial for proper graft functioning. The right liver graft is a partial graft and requires backtable venoplasty to restore segmental venous drainage. A right liver graft without the middle hepatic vein along with presence of multiple short hepatic veins makes outflow reconstruction technically complex. To avoid postoperative liver congestion, suitable surgical techniques are applied to form a common outflow channel that provides adequate drainage for all the segments of liver. This article gives a comprehensive viewpoint for the venous outflow reconstruction in living donor liver transplantation.