Venous outflow reconstruction during living-related donor liver transplantation in children
https://doi.org/10.23873/2074-0506-2010-0-1-46-49
Abstract
As for now, liver transplantation is the only radical treatment in children with terminal stages of chronic liver diseases. In children under 3 years of age, transplantation of the liver from a living-related donor generally uses a left lateral hepatic section graft of the donor. Adequate graft venous outflow is crucial. The aim of the study was to define indications for the use of various methods for venous outflow reconstruction in young children. With this aim in mind, the results of living-related donor liver transplantation were studied in 22 children 6 months to 3 years of age and weighing < 3 kg. The paper describes the procedures of venous reconstruction of graft hepatic veins and the results of their use. Criteria for choosing this or that procedure are given.
About the Authors
O. G. KotenkoUkraine
D. A. Fedorov
Ukraine
A. O. Popov
Ukraine
A. V. Gusev
Ukraine
A. A. Korshak
Ukraine
A. V. Grinenko
Ukraine
References
1. Chen C.L., Concejero A., Wang C.C. et al. Living donor liver transplantation for biliary atresia: a single-center experience with first 100 cases. Am J Transpl 2006;6(11):2672–9.
2. Lee S., Hwang S., Kim K., Ahn C. Approach to anatomic variations of the graft portal vein in right lobe living-donor liver transplantation. Transplantation 2003;75(3):28–32.
3. Nakamura S., Tsuzuki T. Surgical anatomy of the hepatic veins and the inferior vena cava. Surg Gynecol Obstet 1981;152:43–50.
4. Kumar N., Atkison P., Fortier M.V. et al. Cavoportal transposition for portal vein thrombosis in a pediatric livingrelated liver transplantation. Liver Transpl 2003;9(8):874–6.
5. Neto J.S., Carone E., Pugliese V. et al. Living donor liver transplantation for children in Brazil weighing less than 10 kilograms. Liver Transpl 2007;13(8):1153–8.
6. Mitchell A.M., de Goyet D., de Ville J. et al. Absence of the left portal vien: a difficulty for reduction of liver grafts? Transplantation 2000;69(8):1731–2.
Review
For citations:
Kotenko O.G., Fedorov D.A., Popov A.O., Gusev A.V., Korshak A.A., Grinenko A.V. Venous outflow reconstruction during living-related donor liver transplantation in children. Transplantologiya. The Russian Journal of Transplantation. 2010;(1):46-49. (In Russ.) https://doi.org/10.23873/2074-0506-2010-0-1-46-49