Sharing the middle hepatic vein between donor and recipient: left liver graft procurement preserving a large segment VIII branch in donor

Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Yoji KishiMasatoshi Makuuchi

Abstract

There are few reported techniques to minimize the congestion in the donor after left liver graft procuring. If a large tributary of the middle hepatic vein (MHV) draining segment VIII (V8) converges into the root of the MHV in a donor of left liver, this branch should be preserved on the donor side. The volume of congested area when the V8 was ligated was predicted preoperatively by computed tomography (CT) and examined intraoperatively by the clamp test. Postoperative regeneration of the donor liver was evaluated by CT volumetry. This technique was used in 3 cases. The regeneration rate after 3 months of the right paramedian sector was 27, 38, and 8%, and that of the right lateral sector was 31, 63, and 39% in each donor, respectively. No severe complications occurred in the donors. In conclusion, V8 preservation in donors who underwent left liver resection led to satisfactory regeneration both of the right paramedian and lateral sectors and can minimize congestion in remnant liver.

References

May 1, 1995·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·K UrataM Makuuchi
Sep 27, 1996·Transplantation·A A KuangJ C Emond
Sep 27, 1996·Transplantation·J M MillisP F Whitington
May 9, 2000·Journal of the American College of Surgeons·T TakayamaH Kawarasaki
Nov 21, 2000·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·A Marcos
Apr 11, 2001·Journal of the American College of Surgeons·Y SugawaraK Hashizume
Jan 19, 2002·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Yasuhiko SugawaraTakao Ohkubo
Jul 23, 2002·Transplantation·Sung Gyu LeePyung Chul Min
Dec 31, 2002·Lancet·Hiroshi ImamuraMasatoshi Makuuchi
Sep 23, 2003·Transplantation·Norihiro KokudoMasatoshi Makuuchi
Sep 23, 2003·Transplantation·Nobuhisa AkamatsuMasatoshi Makuuchi
Mar 30, 2004·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Yasuhiko SugawaraNorihiro Kokudo

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Citations

Dec 25, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Naoaki SakataMichiaki Unno
Sep 29, 2006·Transplantation·Sheung Tat Fan
Nov 30, 2005·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Yusuke YonemuraYoshihiko Maehara

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