013 VASCULAR RECONSTRUCTION WITH DONOR INFLOW ANAMALY IN LIVING RELATED LIVER TRANSPLANT

Synthetic graft for reconstruction of middle hepatic vein tributaries in living-donor liver transplant.

OBJECTIVES In middle hepatic vein dominant livers, the anterior segment of the right lobe of the liver (segments V and VIII) drains mainly into the middle hepatic vein. In these donors, when right lobe grafts are procured without the middle hepatic vein, the graft may harbor large segment V and/or VIII veins that need reconstruction to avoid graft congestion and subsequent graft dysfunction. Dr...

A novel technique for hepatic arterial reconstruction in living-donor liver transplant.

OBJECTIVES Arterial reconstruction in patients undergoing living-donor liver transplant is technically difficult because of the small diameter of the vessels in the partial liver graft. In this study, we present our technique for hepatic arterial reconstruction. METHODS Since December 2005, we have performed 54 living-donor liver transplants, which are analyzed retrospectively in this report....

The International Liver Transplant Society (ILTS) Living Donor Liver Transplant Recipient Guideline

Microvascular Hepatic Artery Reconstruction in Living Donor Liver Transplantation

Even with the recent technical advances in the surgical procedures used for living donor liver transplantation (LDLT), hepatic artery reconstruction is still one of the most difficult procedures in LDLT (Matsuda et al., 2006; Eguchi et al., 2008). Because hepatic artery complications in liver transplantation, such as hepatic artery thrombosis (HAT) or hepatic artery dissection (HAD), often lead...

Effect of donor-specific antibodies and panel reactive antibodies in living donor liver transplant recipients

PURPOSE Preformed circulating donor-specific antibodies (DSAs) immunologically challenge vascular endothelium and the bile duct. However, the liver is an immune-tolerant organ and can avoid immunological challenges. This study was undertaken to analyze the effects of DSAs after adult living donor liver transplantation (LDLT). METHODS We retrospectively reviewed 219 LDLT patients' records trea...