scholarly journals Split-liver transplants for two adult recipients: Technique of preservation of the vena cava with the right lobe graft

2004 ◽  
Vol 10 (1) ◽  
pp. 153-155 ◽  
Author(s):  
Abhinav Humar ◽  
Khalid Khwaja ◽  
Timothy D. Sielaff ◽  
John R. Lake ◽  
William D. Payne
Keyword(s):  
Vena Cava ◽  
Liver Transplants ◽  
Right Lobe Graft ◽  
Split Liver ◽  
Right Lobe ◽  
The Right

Biliary complications of right lobe split liver transplants

2005 ◽  
Vol 9 (4) ◽  
pp. 563-564
Author(s):  
P JETHWA ◽  
T HAYES ◽  
J BUCKELS ◽  
A MAYER ◽  
D MIRZA ◽  
...  
Keyword(s):  
Biliary Complications ◽  
Liver Transplants ◽  
Split Liver ◽  
Right Lobe

scholarly journals Efficacy of Transhepatic Anterior Approach to the Inferior Vena Cava for Malignant Pheochromocytoma Invading Right Posterior Lobe of the Liver: A Case Report

2019 ◽  
Vol 103 (1-2) ◽  
pp. 80-86
Author(s):  
Gen Tsujio ◽  
Kenjiro Kimura ◽  
Yukie Tauchi ◽  
Go Ohira ◽  
Ryosuke Amano ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Anterior Approach ◽  
Inferior Vena ◽  
Vena Cava ◽  
Right Hepatectomy ◽  
Liver Hanging Maneuver ◽  
Hanging Maneuver ◽  
Right Lobe ◽  
The Right

Introduction: The anterior approach to the inferior vena cava (IVC) by the liver hanging maneuver is effective in resecting large retrohepatic tumors without mobilizing the right lobe. Case presentation: A 50-year-old man was referred to our hospital with a diagnosis of pheochromocytoma. He had severe congestive heart failure and cardiac ejection fraction was 15%. Abdominal magnetic resonance imaging (MRI) and ultrasonography (US) showed an adrenal mass about 80 mm in diameter. The tumor-infiltrated posterior segment of the right hepatic lobe and tumor were widely attached to the IVC. After treatment of congestive heart failure with conservative therapy, surgery was planned. Right adrenectomy and right hepatectomy were performed, the latter using the liver hanging maneuver to avoid mobilizing the right lobe, and we were able to minimize blood pressure fluctuations and perform the operation safely. The histopathologic diagnosis was malignant pheochromocytoma. Conclusions: We performed right hepatectomy without mobilizing the right lobe by the liver hanging maneuver and minimized stimulation of the tumor. We could perform the operation safely using the liver hanging maneuver, which seems effective in such cases.

scholarly journals Single-center analysis of the first 40 adult-to-adult living donor liver transplants using the right lobe

2000 ◽  
Vol 6 (3) ◽  
pp. 296-301 ◽  
Author(s):  
Amadeo Marcos ◽  
John M. Ham ◽  
Robert A. Fisher ◽  
Ann T. Olzinski ◽  
Marc P. Posner
Keyword(s):  
Living Donor ◽  
Single Center ◽  
Liver Transplants ◽  
Donor Liver ◽  
Right Lobe ◽  
The Right

scholarly journals The center of the human porta hepatis

Medicina ◽  
2008 ◽  
Vol 44 (9) ◽  
pp. 694
Author(s):  
Saulius Rutkauskas ◽  
Vytautas Gedrimas ◽  
Tomas Čičinskas ◽  
Aurimas Savulis ◽  
Algidas Basevičius
Keyword(s):  
Vena Cava ◽  
Caudate Lobe ◽  
Left Lobe ◽  
Porta Hepatis ◽  
Liver Lobe ◽  
Anatomical Structures ◽  
Liver Surface ◽  
Right Lobe ◽  
Human Livers ◽  
The Right

Majority of interventional procedures are made at the porta hepatis, which has a different location on the visceral surface of the liver. Objective. To describe the location of the porta hepatis in respect of the borders of the visceral surface and separate lobes of the liver. Material and methods. Sixty-four human livers were obtained at autopsy (mean age, 45 years). We chose the point of the crossing of longitudinal and transversal lines of the porta hepatis, which was considered as center of the porta hepatis. The distances from the center of the porta hepatis to the border of the visceral surface every 10 degrees with protractor and ruler and the angles of anatomical structures were measured. Additionally, the borders of lobes were assessed. Results. We found that center of the porta hepatis is located approximately 11.6±2.8 cm from the border of the visceral liver surface. The location of center of the porta hepatis was 11.6±1.1 cm from the border of left lobe, 9.7±1.5 cm from the border of quadrate lobe, 12.3±1.2 cm from the border of right lobe, and 7.4±1.0 cm from the border of caudate lobe. All distances were statistically significant (P<0.05). An angle of the fissure for round ligament was 50.5°, of the fossa of gallbladder – 102°, of the groove of vena cava inferior – 266°, and of the fissure for ligamentum venosum – 293°. The borders of the right, left, quadrate, and caudate liver lobe covered 45.6%, 32.6%, 14.3%, and 7.5% of the perimeter of visceral surface border, respectively. Conclusions. The center of the porta hepatis can help to characterize precisely the position of the porta hepatis on the visceral surface of the liver.

scholarly journals Salvage with a Secondary Infrahepatic Cavocavostomy of the Occluded Modified Piggyback Anastomosis during Split Liver Transplantation: A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Erdem Kinaci ◽  
Cuneyt Kayaalp ◽  
Sezai Yilmaz ◽  
Emrah Otan
Keyword(s):  
Liver Transplantation ◽  
Vena Cava ◽  
Liver Graft ◽  
Outflow Obstruction ◽  
Venous Outflow ◽  
Hepatic Venous Outflow Obstruction ◽  
Split Liver ◽  
Hepatic Venous Outflow ◽  
Venous Outflow Obstruction ◽  
Right Lobe

Hepatic venous outflow obstruction following liver transplantation is rare but disastrous. Here we described a 14-year-old boy who underwent a split right lobe liver transplantation with modified (side-to-side) piggyback technique which resulted in hepatic venous outflow obstruction. When the liver graft was lifted up, the outflow drainage returned to normal but when it was placed back into the abdomen, the outflow obstruction recurred. Because reanastomosis would have resulted in hepatic reischemia, alternatively, a second infrahepatic cavocavostomy was planned without requiring hepatic reischemia. During this procedure, the first assistant hung the liver up to provide sufficient outflow and the portal inflow of the graft continued as well. We only clamped the recipient’s infrahepatic vena cava and the caudal cuff of the graft cava. After the second end-to-side cavocaval anastomosis, the graft was placed in its orthotopic position and there was no outflow problem anymore. The patient tolerated the procedure well and there were no problems after three months of follow-up. A second cavocavostomy can provide an extra bypass for some hepatic venous outflow problems after piggyback anastomosis by avoiding hepatic reischemia.

Clinical Outcomes of Right-Lobe Split-Liver versus Orthotopic Liver Transplants from Donors More than 70 Years Old

2015 ◽  
Vol 25 (3) ◽  
pp. 243-250 ◽  
Author(s):  
Riccardo Memeo ◽  
Nicola de'Angelis ◽  
Chady Salloum ◽  
Philipe Compagnon ◽  
Alexis Laurent ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Liver Transplants ◽  
Split Liver ◽  
Right Lobe
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