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Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Transplant. Jun 24, 2016; 6(2): 272-277
Published online Jun 24, 2016. doi: 10.5500/wjt.v6.i2.272
Hepatoduodenal ligament dissection technique during recipient hepatectomy for liver transplantation: How I do it?
Cuneyt Kayaalp, Kerem Tolan, Sezai Yilmaz
Cuneyt Kayaalp, Kerem Tolan, Sezai Yilmaz, Liver Transplantation Institute, Turgut Ozal Medical Center, Inonu University, 44315 Malatya, Turkey
Author contributions: Kayaalp C performed the procedure; Kayaalp C, Tolan K and Yilmaz S contributed to writing, editing and revising of this paper.
Conflict-of-interest statement: The authors declare no conflict of interest regarding our manuscript.
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: Cuneyt Kayaalp, MD, Professor, Liver Transplantation Institute, Turgut Ozal Medical Center, Inonu University, Elazig Cad, 44315 Malatya, Turkey. cuneytkayaalp@hotmail.com
Telephone: +90-422-3410660 Fax: +90-422-3410229
Received: October 20, 2015
Peer-review started: October 21, 2015
First decision: December 28, 2015
Revised: April 2, 2016
Accepted: April 14, 2016
Article in press: April 18, 2016
Published online: June 24, 2016
Processing time: 247 Days and 3.9 Hours
Core Tip

Core tip: The hepatic artery is one of the main components of the hepatoduodenal ligament and exhibits high anatomic variability, which may change the outcome and success of liver transplantation. In our experience, early control of the hepatic artery (artery first approach) and by the guidance of the hepatic artery, dissection of the rest of the hepatoduodenal ligament components is more practical. In this paper, we share our latest version of the hepatoduodenal ligament dissection technique, developed over the course of 1500 liver transplantations (80% living donor liver transplantation) in our clinic.