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| Hepatic vein in living donor liver transplantation |
| Deniz Balci ∗, Elvan Onur Kirimker |
Ankara University School of Medicine, Department of Surgery, Ankara Universitesi Tip Fakultesi Ibni Sina Hastanesi Akademik Yerleske K-4 S?hhiye, Ankara, Turkey
∗ Corresponding author.
E-mail address: dbalci@medicine.ankara.edu.tr (D. Balci). |
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Abstract Right lobe living donor liver transplantation (LDLT) is a major development in adult LDLT that has sig- nificantly increased the donor pool by providing larger graft size and by decreasing risk of small-for-size graft syndrome. However, right lobe anatomy is complex, not only from the inflow but also from the outflow perspective. Outflow reconstruction is one of the key requirements of a successful LDLT and ve- nous drainage of the liver graft is just as important as hepatic inflow for the integrity of graft function. Outflow complications may cause acute graft failure which is not always easy to diagnose. The right lobe graft consists of two sections and three hepatic venous routes for drainage that require reconstruction. In order to obtain a congestion free graft, several types of vascular conduits and postoperative interventions are needed to assure an adequate venous allograft drainage. This review described the anatomy, functional basis and the evolution of outflow reconstruction in right lobe LDLT.
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2020, Vol. 19 
