|
|
|
| A surgical technique using the gastroepiploic vein for portal inflow restoration in living donor liver transplantation in a patient with diffuse portomesenteric thrombosis |
| Sang-Hoon Kim, Deok-Bog Moon ∗, Woo-Hyoung Kang, Dong-Hwan Jung, Sung-Gyu Lee |
Division of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Asan Medical Center and University of Ulsan College of Medicine, 88
Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea
∗ Corresponding author.
E-mail address: mdb1@amc.seoul.kr (D.-B. Moon). |
|
|
|
|
Abstract Portal vein thrombosis (PVT) is no longer a definitive contraindication in liver transplants (LTs) [1]. Complex vascular reconstructions such as cavoportal hemitransposition (CPHT) [2–5], renoportal anastomosis (RPA) [6,7], and use of sizable collaterals (pericholedochal varix [8,9], coronary vein, peripancreatic or perigastroesophageal varices [10], right superior colic vein [11], ileocolic vein [12], and left gastric vein [13]), or combined liverpancreas-small bowel transplant [14] are required for portal inflow in patients with total portosplenomesenteric thrombosis. A deceased donor liver transplantation (DDLT) case of successful portal inflow restoration directly from the gastroepiploic vein (GEV) without the use of an interposition graft was introduced [15,16]. Here, we report a successful living donor liver transplantation (LDLT) case using GEV for portal inflow restoration in a patient with totally obliterated splanchnic vein.
|
|
|
|
|
|
|
|
|
2023, Vol. 22 
