Parietal peritoneum as a vascular substitute for the reconstruction of donor inferior vena cava in living donor liver transplantation - 12/03/22
, Inbaraj Balradja, Jagadeesh Krishna, Shaleen Agarwal, Subhash Gupta
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Abstract |
Living donor liver transplant is technically more difficult than deceased-donor liver transplant because of the shorter and narrower vascular stumps and presence of multiple biliary ducts in partial liver grafts. Division of the vascular structures quickly and precisely is a prerequisite to decrease ischemia time as well as to prevent narrowing in donor vascular structures. Intraoperative vascular complications of donor hepatectomy are under-reported. Here, we report a case of inadvertently cut donor inferior vena cava (IVC) during the division of right hepatic vein (RHV) leading to narrowing of IVC which was repaired successfully using a parietal peritoneal patch from the falciform ligament.
Le texte complet de cet article est disponible en PDF.Keywords : Peritoneal patch, Vascular reconstruction, IVC repair, Donor hepatectomy, Vascular substitute
Abbreviations : IVC, RHV, MHV, LAI, PTFE, AST, ALT, SAP
Plan
Vol 6
Article 100078- avril 2022 Retour au numéro
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