Use of right lobe graft with type IV portal vein accompanied by type IV biliary tree in living donor liver transplantation: Report of a case

Mahmoud Refaat Shehata; Dong Sik Kim; Sung Won Jung; Young Dong Yu; Sung Ock Suh

doi:10.4174/astr.2014.86.6.331

Use of right lobe graft with type IV portal vein accompanied by type IV biliary tree in living donor liver transplantation: Report of a case

Mahmoud Refaat Shehata, Dong Sik Kim, Sung Won Jung, Young Dong Yu, Sung Ock Suh

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

Anatomic variations of the portal vein (PV) and bile duct (BD) are more common on the right lobe as compared with left lobe grafts in living donor liver transplantation (LDLT). We recently experienced a case of LDLT for hepatocellular carcinoma combined with liver cirrhosis secondary to hepatitis B virus and hepatitis C virus infection. The only available donor had right lobe graft with type IV PV associated with type IV BD. The patient underwent relaparotomy for PV stenting due to PV stenosis. Percutaneous transhepatic biliary drainage was done for a stricture at the site of biliary reconstruction. Thereafter, the patient was discharged in good health. Our experience suggests that, the use of right lobe graft with type IV PV accompanied by type IV BD should be the last choice for LDLT, because of its technical difficulty and risks of associated complications.

Original language	English
Pages (from-to)	331-333
Number of pages	3
Journal	Annals of Surgical Treatment and Research
Volume	86
Issue number	6
DOIs	https://doi.org/10.4174/astr.2014.86.6.331
Publication status	Published - 2014 Jun
Externally published	Yes

Keywords

Anastomosis
Postoperative complications
Roux-en-Y
Vascular complication

ASJC Scopus subject areas

Surgery

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.4174/astr.2014.86.6.331

Cite this

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title = "Use of right lobe graft with type IV portal vein accompanied by type IV biliary tree in living donor liver transplantation: Report of a case",

abstract = "Anatomic variations of the portal vein (PV) and bile duct (BD) are more common on the right lobe as compared with left lobe grafts in living donor liver transplantation (LDLT). We recently experienced a case of LDLT for hepatocellular carcinoma combined with liver cirrhosis secondary to hepatitis B virus and hepatitis C virus infection. The only available donor had right lobe graft with type IV PV associated with type IV BD. The patient underwent relaparotomy for PV stenting due to PV stenosis. Percutaneous transhepatic biliary drainage was done for a stricture at the site of biliary reconstruction. Thereafter, the patient was discharged in good health. Our experience suggests that, the use of right lobe graft with type IV PV accompanied by type IV BD should be the last choice for LDLT, because of its technical difficulty and risks of associated complications.",

keywords = "Anastomosis, Postoperative complications, Roux-en-Y, Vascular complication",

author = "Shehata, {Mahmoud Refaat} and Kim, {Dong Sik} and Jung, {Sung Won} and Yu, {Young Dong} and Suh, {Sung Ock}",

year = "2014",

month = jun,

doi = "10.4174/astr.2014.86.6.331",

language = "English",

volume = "86",

pages = "331--333",

journal = "Annals of Surgical Treatment and Research",

issn = "2288-6575",

publisher = "Korean Surgical Society",

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T1 - Use of right lobe graft with type IV portal vein accompanied by type IV biliary tree in living donor liver transplantation

T2 - Report of a case

AU - Shehata, Mahmoud Refaat

AU - Kim, Dong Sik

AU - Jung, Sung Won

AU - Yu, Young Dong

AU - Suh, Sung Ock

PY - 2014/6

Y1 - 2014/6

N2 - Anatomic variations of the portal vein (PV) and bile duct (BD) are more common on the right lobe as compared with left lobe grafts in living donor liver transplantation (LDLT). We recently experienced a case of LDLT for hepatocellular carcinoma combined with liver cirrhosis secondary to hepatitis B virus and hepatitis C virus infection. The only available donor had right lobe graft with type IV PV associated with type IV BD. The patient underwent relaparotomy for PV stenting due to PV stenosis. Percutaneous transhepatic biliary drainage was done for a stricture at the site of biliary reconstruction. Thereafter, the patient was discharged in good health. Our experience suggests that, the use of right lobe graft with type IV PV accompanied by type IV BD should be the last choice for LDLT, because of its technical difficulty and risks of associated complications.

AB - Anatomic variations of the portal vein (PV) and bile duct (BD) are more common on the right lobe as compared with left lobe grafts in living donor liver transplantation (LDLT). We recently experienced a case of LDLT for hepatocellular carcinoma combined with liver cirrhosis secondary to hepatitis B virus and hepatitis C virus infection. The only available donor had right lobe graft with type IV PV associated with type IV BD. The patient underwent relaparotomy for PV stenting due to PV stenosis. Percutaneous transhepatic biliary drainage was done for a stricture at the site of biliary reconstruction. Thereafter, the patient was discharged in good health. Our experience suggests that, the use of right lobe graft with type IV PV accompanied by type IV BD should be the last choice for LDLT, because of its technical difficulty and risks of associated complications.

KW - Anastomosis

KW - Postoperative complications

KW - Roux-en-Y

KW - Vascular complication

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DO - 10.4174/astr.2014.86.6.331

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VL - 86

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JO - Annals of Surgical Treatment and Research

JF - Annals of Surgical Treatment and Research

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Use of right lobe graft with type IV portal vein accompanied by type IV biliary tree in living donor liver transplantation: Report of a case

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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