PMID: 8986977Dec 1, 1996Paper

Routine use of the piggyback technique in pediatric orthotopic liver transplantation

Journal of Pediatric Surgery
Jose NeryAndreas G Tzakis

Abstract

The theoretical advantages of the piggyback technique over conventional orthotopic liver transplantation are as follows. (1) Continuous venous decompression during the anhepatic phase is provided without venovenous bypass. (2) Warm ischemia time can be shortened because there is no need for the infrahepatic vena cava anastomosis. The following report is a review of the authors' experience with this method in children during the past year at their institution. Analyses of intraoperative hemodynamics and blood loss, postoperative renal function, patient and graft survival, and length of hospital stay have shown excellent results. There were no intraoperative deaths, and causes of death and graft loss were not related to the technique. The authors conclude that children who undergo liver transplantation can be very satisfactorily managed with the piggyback operation, and this technique may be more advantageous than the conventional method.

References

Oct 1, 1979·Annals of Surgery·H L Pachter, F C Spencer
Oct 1, 1992·Anesthesia and Analgesia·S D Kelley
Oct 1, 1992·Anesthesia and Analgesia·P VeroliC Ecoffey
Nov 1, 1985·Seminars in Liver Disease·B W ShawT E Starzl
Nov 1, 1985·Seminars in Liver Disease·T E StarzlB W Shaw
Nov 30, 1968·British Medical Journal·R Y Calne, R Williams
Oct 1, 1984·Annals of Surgery·B W ShawT E Starzl
Jun 1, 1993·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·T E StarzlJ J Fung
Sep 1, 1995·Liver Transplantation and Surgery : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·T PiratvisuthR Williams

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Citations

Jan 30, 2004·The Journal of Trauma·Jennifer P Y ChiaDaniel T Cass
Mar 1, 2012·Journal of the American College of Surgeons·David M LeviAlan S Livingstone
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Seigo NishidaAndreas G Tzakis

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