An alternative method of reconstruction of hepatic venous outflow in domino liver transplantation

Transplant Proc. 2009 Apr;41(3):994-5. doi: 10.1016/j.transproceed.2009.02.024.

Abstract

The double piggyback technique has been proposed for domino liver transplantation. To make this possible, it is necessary to reconstruct the venous outflow of the domino liver graft on the back table. We describe an alternative method of reconstruction of hepatic venous outflow, in which a neocaval segment is obtained using both common iliac veins from the cadaveric donor.

Publication types

  • Case Reports

MeSH terms

  • Adenosine
  • Adult
  • Allopurinol
  • Cadaver
  • Female
  • Glutathione
  • Hepatic Artery / surgery
  • Hepatic Veins / surgery*
  • Humans
  • Iliac Vein / surgery
  • Insulin
  • Liver Transplantation / methods*
  • Male
  • Middle Aged
  • Organ Preservation Solutions
  • Perfusion
  • Plastic Surgery Procedures / methods*
  • Raffinose
  • Tissue Donors
  • Treatment Outcome

Substances

  • Insulin
  • Organ Preservation Solutions
  • University of Wisconsin-lactobionate solution
  • Allopurinol
  • Glutathione
  • Adenosine
  • Raffinose