Parietal peritoneum as a vascular substitute for the reconstruction of donor inferior vena cava in living donor liver transplantation

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.