A Case of Successful Multi-Venous Reconstruction Using Recipient's Jugular Vein in Right Lobe-Living Donor Liver Transplantation

DOI HANDLE Web Site PubMed Open Access
  • Matsuo Mizue
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Ikegami Toru
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Morita Kazutoyo
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Yano Hiroko
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Hashimoto Naotaka
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Kayashima Hiroto
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Masuda Toshirou
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Kondou Naoko
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Yoshizumi Tomoharu
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Taketomi Akinobu
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Shirabe Ken
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Maehara Yoshihiko
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University

Bibliographic Information

Other Title
  • 多孔静脈の再建に内・外頸静脈を用いた右葉グラフト生体肝移植の一例
  • 症例 多孔静脈の再建に内・外頸静脈を用いた右葉グラフト生体肝移植の一例
  • ショウレイ タコウ ジョウミャク ノ サイケン ニ ウチ ・ ソト ケイ ジョウミャク オ モチイタ ウヨウ グラフト セイタイ カン イショク ノ イチレイ

Search this article

Abstract

In right lobe-living donor liver transplantation (RT-LDLT), hepatic venous reconstruction of the graft is essential to prevent posttansplant graft congestion and have a good outcome. The patient was a 56-year-old man who had decompensated liver cirrhosis secondary hepatitis C with massive ascites, jaundice and hepatic encephalopathy. He underwent LDLT using his son's right lobe graft. Preoperative simulation by 3D-CT volumetry revealed that the right lobe graft needed multi-venous reconstruction for right inferior hepatic vein (RIHV) and middle hepatic venous tributaries. Preoperative CT scan revealed that the recipient had portal venous thrombus and stenosis, which meant that the recipient's explanted portal vein (EPV) was not suitable for the venous reconstruction of the right lobe graft. Therefore, the recipient's internal and external jugular veins (IJV and EJV) were procured for venous reconstruction. The multiple veins of the right lobe graft were reconstructed to have single co-orifice at the backtable, and the co-orifice was anastomosed to inferior vena cava in short time. The recipient discharged on postoperative day 22 with good venous patency. In RT-LDLT unavailable for recipient's EPV, recipient's IJV and EJV grafts are very useful for multi-venous reconstruction.

Journal

  • 福岡醫學雜誌

    福岡醫學雜誌 103 (9), 186-190, 2012-09-25

    Fukuoka Medical Association

Keywords

Details 詳細情報について

Report a problem

Back to top