A new technique of hepatic vein reconstruction in living related liver transplantation.

OBJECTIVE

To attempt to reconstruct the hepatic vein safely and easily in living related liver transplantation (LRLT).

DESIGN

Retrospective case series.

SUBJECTS

Four patients over 15 years of age underwent LRLT.

INTERVENTION

A surgical technique of hepatic vein anastomosis, using the common anastomotic orifice of the middle and left hepatic veins of a left lobe graft and the right hepatic vein of the recipient. After reperfusion, the graft is immobilized in a position decided upon using color Doppler ultrasonography to ensure no out-flow block.

RESULTS

The graft is lowered below the right diaphragm and rotated 90 degrees. This condition provides good visibility, enabling an accurate anastomosis. Four patients developed no complications included with out-flow block and hemorrhage.

CONCLUSIONS

This technique is safe and easy for reconstruction of the hepatic vein in LRLT.