Versatility and viability of hepatic venoplasty in live donor liver transplantation using the right lobe with the middle hepatic vein  

作　　者：See-Ching Chan Chung-Mau Lo Chi-Leung Liu Yik Wong Sheung-Tat Fan 

机构地区：[1]Centre for the Study of Liver Disease,and Departments of Surgery The University of Hong Kong,Pokfulam,Hong Kong,China [2]Radiology The University of Hong Kong,Pokfulam,Hong Kong,Pokfulam,Hong Kong,China

出　　处：《Hepatobiliary & Pancreatic Diseases International》2005年第4期618-621,共4页国际肝胆胰疾病杂志（英文版）

基　　金：This study was supported by Sun C. Y. Research Foundation for Hepatobiliary and Pancreatic Surgery ot the Uni- versity of Hong Kong.

摘　　要：Including the middle hepatic vein in the right lobe liver graft has the advantage of providing direct venous drainage of the right anterior segment. To allow unimpeded passage of blood flow, we previously designed venoplasty of the middle and right hepatic veins. We found that venoplasty is also feasible when the inferior right hepatic vein is near to the right hepatic vein, or when multiple segment 8 hepatic vein orifices are exposed adjacent to the middle hepatic vein at the graft transection surface. By joining the hepatic vein orifices into a single opening, the anastomosis into the inferior vena cava is much facilitated. The technique is simple, yet versatile , and able to cope with variation of the configurations of the hepatic vein.Including the middle hepatic vein in the right lobe liver graft has the advantage of providing direct venous drainage of the right anterior segment. To allow unimpeded passage of blood flow, we previously designed venoplasty of the middle and right hepatic veins. We found that venoplasty is also feasible when the inferior right hepatic vein is near to the right hepatic vein, or when multiple segment 8 hepatic vein orifices are exposed adjacent to the middle hepatic vein at the graft transection surface. By joining the hepatic vein orifices into a single opening, the anastomosis into the inferior vena cava is much facilitated. The technique is simple, yet versatile , and able to cope with variation of the configurations of the hepatic vein.

关 键 词：venoplasty live donor liver transplantation 

分 类 号：R657.3[医药卫生—外科学]