Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Abdominal Solid Organ TransplantationOrthotopic Liver Transplantation

Abdominal Solid Organ Transplantation: Orthotopic Liver Transplantation [The original technique of orthotopic liver transplantation (LT) envisages the removal of the native liver together with the infrahepatic inferior vena cava (IVC), while a subsequent evolution of this procedure includes the preservation of the IVC. In this latter case, the outflow reconstruction is achieved with an anastomosis of the donor IVC to the stump of the three major hepatic veins or to the IVC of the recipient. The two techniques had undergone a few modifications since their initial proposal. Although it is generally recognized that the preservation of the IVC carries some advantages in terms of shorter operation time, avoidance of venovenous bypass, and better hemodynamic stability and renal function, at present there is no definite agreement on which technique actually leads to better results. The sequence of vascular anastomosis is the same with the two techniques, that is, caval, portal, and arterial anastomoses, in an end-to-end fashion and with the general concept of avoiding an excessive length. Biliary reconstruction is the last step of the operation, and it is performed between the donor and recipient bile ducts or with a bilioenteric anastomosis.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

Abdominal Solid Organ TransplantationOrthotopic Liver Transplantation

Editors: Pinna, Antonio Daniele; Ercolani, Giorgio
Cescon, Matteo; Ercolani, Giorgio; Pinna, Antonio Daniele
Abdominal Solid Organ Transplantation — Mar 6, 2015
Download PDF
10 pages

Loading next page...
 
/lp/springer-journals/abdominal-solid-organ-transplantation-orthotopic-liver-transplantation-MMsCzWvKbp
Publisher
Springer International Publishing
Copyright
© Springer International Publishing Switzerland 2015
ISBN
978-3-319-16996-5
Pages
133 –142
DOI
10.1007/978-3-319-16997-2_8
Publisher site
See Chapter on Publisher Site

Abstract

[The original technique of orthotopic liver transplantation (LT) envisages the removal of the native liver together with the infrahepatic inferior vena cava (IVC), while a subsequent evolution of this procedure includes the preservation of the IVC. In this latter case, the outflow reconstruction is achieved with an anastomosis of the donor IVC to the stump of the three major hepatic veins or to the IVC of the recipient. The two techniques had undergone a few modifications since their initial proposal. Although it is generally recognized that the preservation of the IVC carries some advantages in terms of shorter operation time, avoidance of venovenous bypass, and better hemodynamic stability and renal function, at present there is no definite agreement on which technique actually leads to better results. The sequence of vascular anastomosis is the same with the two techniques, that is, caval, portal, and arterial anastomoses, in an end-to-end fashion and with the general concept of avoiding an excessive length. Biliary reconstruction is the last step of the operation, and it is performed between the donor and recipient bile ducts or with a bilioenteric anastomosis.]

Published: Mar 6, 2015

Keywords: Liver; Transplantation; Technique; Preservation; Vena cava

There are no references for this article.