Remaining caudate lobe in the right lobe graft in living donor liver transplantation: a blind spot?

Transplantation Proceedings
D MoriokaH Shimada

Abstract

The right margin of the caudate lobe is obscure. Therefore, a part of the caudate lobe (a part of the right side of the paracaval portion) seems almost always to remain with the right lobe graft during the standard harvesting procedure. We reviewed the intraoperative findings and the postoperative courses of donors and recipients of 11 consecutive living donor liver transplantations using right lobe grafts. Further, we used computed tomography during the postoperative course to investigate whether the remaining caudate lobe was present in the right lobe graft and whether it produced serious complications. Four recipients displayed an intraoperative bile leak from a remaining part of the caudate lobe after the completion of biliary reconstruction. With the exception of one case who developed repeated bile leakage from the same origin which eventually healed during a long-term postoperative course, Most recipients showed no postoperative biliary complications. Although a remaining caudate lobe was detected on postoperative computed tomography in all recipients, it produced no serious complications. In conclusion, a part of the right side of the paracaval portion of the caudate lobe almost always remains with a right lobe graft du...Continue Reading

References

Mar 21, 1998·The British Journal of Surgery·G N StapletonJ Terblanche
Oct 9, 1999·Transplantation·A MarcosM P Posner
May 9, 2000·Journal of the American College of Surgeons·T TakayamaH Kawarasaki
Sep 13, 2000·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·S KitagawaK Hirata
Jan 25, 2002·Annals of Surgery·Keiichi KubotaMasatoshi Makuuchi
Feb 1, 2003·Annals of Surgery·Yasuhiko SugawaraNorihiro Kokudo
Mar 28, 2003·Surgery·Milan M KinkhabwalaJean C Emond

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Citations

May 4, 2018·Transplant International : Official Journal of the European Society for Organ Transplantation·Kausar MakkiVivek Vij
Mar 9, 2010·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Hanna C HermannChristina Papachristou
Feb 17, 2006·APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica·Olle Ringdén, Katarina Le Blanc
Oct 31, 2009·World Journal of Hepatology·Kuniya TanakaItaru Endo
Aug 12, 2014·World Journal of Gastroenterology : WJG·Marina PainiMassimo Falconi

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