PMID: 7940712Oct 15, 1994Paper

Orthotopic liver transplantation with preservation of the caval and portal flows. Technique and results in 62 cases

Transplantation
D CherquiP L Fagniez

Abstract

Sixty-two OLTs in 61 patients were performed using a technical modification reported recently, including total hepatectomy with preservation of the inferior vena cava, partial clamping of the native vena cava, and side-to-side cavacaval anastomosis. We further modified the technique by adding the early construction of a temporary end-to-side portacaval shunt, and, more recently, by using an end-to-side caval reconstruction. With this technique, the caval and portal flows were maintained throughout the procedure. Hemodynamic parameters were analyzed prospectively during the operative period and remained stable at all stages of the procedure. Venous bypass was avoided in all cases without need for increased fluid infusion. Operative time and transfusion requirements were 6.8 +/- 1.6 hr and 9.8 +/- 4.3 U of packed RBC, respectively. There were no specific complications or deaths due to the technique used and hospital mortality was 10% (6/61). The technique used in this study is a safe adjunct to the technical armamentarium of clinical liver transplantation. Its main advantage seems to be hemodynamic stability throughout the procedure, obviating the need for venous bypass or fluid overload.

Citations

Feb 22, 2011·Langenbeck's Archives of Surgery·Jerzy LubikowskiMaciej Wójcicki
Mar 13, 2009·Journal of Hepato-biliary-pancreatic Surgery·Alexis LaurentDaniel Cherqui
Apr 13, 2011·Hepatology International·Murat CagPhilippe Wolf
Dec 1, 1995·American Journal of Surgery·P C KuoD C Dafoe
Jan 3, 2001·Transplantation Proceedings·F AcostaP Parrilla
Nov 20, 1997·Transplantation Proceedings·W LauchartG Judt-Stelzer
May 24, 2003·Journal of Hepatology·Catherine Leroy-MatheronMichèle Gouault-Heilmann
Dec 14, 1999·The British Journal of Surgery·R K PraseedomO J Garden
Oct 27, 2001·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·J FiguerasA Dalmau
Nov 8, 2001·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·J BelghitiO Farges
May 19, 2000·Annals of Surgery·M Hosein Shokouh-AmiriT Kizilisik
Feb 15, 1996·Transplantation·D AzoulayH Bismuth
Sep 27, 1996·Transplantation·B TantawiP L Fagniez
Dec 14, 2006·Transplantation·Claude TayarDaniel Cherqui
Jan 8, 2005·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Jorge OrtizAbhinav Humar
Jun 13, 2014·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Volker SchmitzGero Puhl
Jul 2, 2010·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Luca ViganòDaniel Cherqui
Sep 6, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Hamidreza FonouniJan Schmidt
Jun 3, 2009·Clinical Transplantation·Wojciech G PolakMaarten J H Slooff
Oct 1, 2008·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Diego DavilaNigel Heaton
Apr 29, 2009·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Arianeb MehrabiJan Schmidt
Sep 30, 2010·Transplant International : Official Journal of the European Society for Organ Transplantation·Davide GhinolfiJuan del Rio Martin
Jan 22, 2011·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Claude TayarDaniel Cherqui
Apr 25, 2015·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Shirin Elizabeth KhorsandiNigel Heaton
Nov 14, 2006·Transplantation Proceedings·M A Suárez-MunozA Rodríguez Cañete
Oct 9, 2015·Clinical Transplantation·Monia E WerlangFernando F Stancampiano
Oct 31, 2007·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Seong Hoon KimChang-Min Kim
Sep 25, 2007·Transplantation Proceedings·I L de CenarruzabeitiaJ Balsells
Nov 20, 2003·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Emilio RamosEduardo Jaurrieta
Aug 6, 2017·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Marc-Antoine AllardEric Vibert
Sep 14, 2006·Clinical Transplantation·Wojciech G PolakMaarten J H Slooff

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