Abstract
Right liver graft with the middle hepatic vein sometimes induces postoperative liver failure in donors due to insufficient functional remnant liver volume. Venous drainage of the graft is important for prevention of congestion and proper function of the graft. Therefore right hepatic veins and the tributaries of the middle hepatic vein need reconstruction. The unique technique of reconstructing the middle hepatic vein, the right hepatic vein and the short hepatic veins using allografts and artificial grafts are discussed. Patients who had right hepatic and middle hepatic vein reconstructions had good graft functions and less hepatic congestion. This technique will be useful for preserving liver function in right liver lobe donors in Sri Lanka where more than 31% of the general population has fatty liver disease. DOI: http://dx.doi.org/10.4038/sljs.v32i2.7355 The Sri Lanka Journal of Surgery 2014; 32(2): 35-37
Highlights
In partial liver transplantation, the middle hepatic vein (MHV) is included in either the right or left hemiliver
The Sri Lanka Journal of Surgery 2014; 32(2): 35-37 since a congested area in the right liver graft is reported to result in poor liver function, followed by atrophy, unless venous reconstruction is performed
[4] It has been our observation in the limited live donor liver transplantation (LDLT) performed in Sri Lanka, sacrificing the MHV to the recipient, has resulted in prolonged derangement of liver functions in the donor
Summary
Reconstruction of the middle hepatic vein in live donor liver transplantation: will it improve donor liver function?.
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