Posterior cavoplasty: a new approach to avoid venous outflow obstruction and symptoms for small-for-size syndrome in right lobe living donor liver transplantation.

Armin D Goralczyk; Aiman Obed; Alexander Beham; Tung Yu Tsui; Thomas Lorf

Posterior cavoplasty: a new approach to avoid venous outflow obstruction and symptoms for small-for-size syndrome in right lobe living donor liver transplantation.

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Posterior cavoplasty: a new approach to avoid venous outflow obstruction and symptoms for small-for-size syndrome in right lobe living donor liver transplantation. / Goralczyk, Armin D; Obed, Aiman; Beham, Alexander; Tsui, Tung Yu; Lorf, Thomas.

in: LANGENBECK ARCH SURG, Jahrgang 396, Nr. 3, 3, 2011, S. 389-395.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Goralczyk, AD, Obed, A, Beham, A, Tsui, TY & Lorf, T 2011, 'Posterior cavoplasty: a new approach to avoid venous outflow obstruction and symptoms for small-for-size syndrome in right lobe living donor liver transplantation.', LANGENBECK ARCH SURG, Jg. 396, Nr. 3, 3, S. 389-395. <http://www.ncbi.nlm.nih.gov/pubmed/21207055?dopt=Citation>

APA

Goralczyk, A. D., Obed, A., Beham, A., Tsui, T. Y., & Lorf, T. (2011). Posterior cavoplasty: a new approach to avoid venous outflow obstruction and symptoms for small-for-size syndrome in right lobe living donor liver transplantation. LANGENBECK ARCH SURG, 396(3), 389-395. [3]. http://www.ncbi.nlm.nih.gov/pubmed/21207055?dopt=Citation

Vancouver

Goralczyk AD, Obed A, Beham A, Tsui TY, Lorf T. Posterior cavoplasty: a new approach to avoid venous outflow obstruction and symptoms for small-for-size syndrome in right lobe living donor liver transplantation. LANGENBECK ARCH SURG. 2011;396(3):389-395. 3.

Bibtex

@article{bfddc24fb4ad42e7adcc79af108d96a4,

title = "Posterior cavoplasty: a new approach to avoid venous outflow obstruction and symptoms for small-for-size syndrome in right lobe living donor liver transplantation.",

abstract = "A common and serious problem after living donor liver transplantation (LDLT) of small grafts is small-for-size syndrome (SFSS). Although hyperdynamic portal inflow and portal hypertension are cornerstones in the development of SFSS, inadequate outflow may aggravate SFSS. Therefore, enlargement of the portal outflow tract by incision of the anterior rim of the orifice of the right hepatic vein (RHV) has been advocated for right lobe LDLT. But backwards tilt of a small graft into a large abdominal cavity may lead to a choking of the otherwise large anastomosis and thus we propose posterior enlargement of the orifice of the RHV.",

keywords = "Adult, Humans, Male, Female, Middle Aged, Multivariate Analysis, Treatment Outcome, Risk Assessment, Survival Rate, Follow-Up Studies, Retrospective Studies, Case-Control Studies, Statistics, Nonparametric, Kaplan-Meier Estimate, Graft Survival, Graft Rejection, Postoperative Complications/prevention & control, Anastomosis, Surgical/methods, Constriction, Pathologic/prevention & control, Hepatic Veins/physiopathology/*surgery, Liver Circulation/physiology, Liver Transplantation/adverse effects/*methods, *Living Donors, Vascular Patency/physiology, Vascular Surgical Procedures/*methods, *Venous Pressure, Adult, Humans, Male, Female, Middle Aged, Multivariate Analysis, Treatment Outcome, Risk Assessment, Survival Rate, Follow-Up Studies, Retrospective Studies, Case-Control Studies, Statistics, Nonparametric, Kaplan-Meier Estimate, Graft Survival, Graft Rejection, Postoperative Complications/prevention & control, Anastomosis, Surgical/methods, Constriction, Pathologic/prevention & control, Hepatic Veins/physiopathology/*surgery, Liver Circulation/physiology, Liver Transplantation/adverse effects/*methods, *Living Donors, Vascular Patency/physiology, Vascular Surgical Procedures/*methods, *Venous Pressure",

author = "Goralczyk, {Armin D} and Aiman Obed and Alexander Beham and Tsui, {Tung Yu} and Thomas Lorf",

year = "2011",

language = "English",

volume = "396",

pages = "389--395",

journal = "LANGENBECK ARCH SURG",

issn = "1435-2443",

publisher = "Springer",

number = "3",

}

RIS

TY - JOUR

T1 - Posterior cavoplasty: a new approach to avoid venous outflow obstruction and symptoms for small-for-size syndrome in right lobe living donor liver transplantation.

AU - Goralczyk, Armin D

AU - Obed, Aiman

AU - Beham, Alexander

AU - Tsui, Tung Yu

AU - Lorf, Thomas

PY - 2011

Y1 - 2011

N2 - A common and serious problem after living donor liver transplantation (LDLT) of small grafts is small-for-size syndrome (SFSS). Although hyperdynamic portal inflow and portal hypertension are cornerstones in the development of SFSS, inadequate outflow may aggravate SFSS. Therefore, enlargement of the portal outflow tract by incision of the anterior rim of the orifice of the right hepatic vein (RHV) has been advocated for right lobe LDLT. But backwards tilt of a small graft into a large abdominal cavity may lead to a choking of the otherwise large anastomosis and thus we propose posterior enlargement of the orifice of the RHV.

AB - A common and serious problem after living donor liver transplantation (LDLT) of small grafts is small-for-size syndrome (SFSS). Although hyperdynamic portal inflow and portal hypertension are cornerstones in the development of SFSS, inadequate outflow may aggravate SFSS. Therefore, enlargement of the portal outflow tract by incision of the anterior rim of the orifice of the right hepatic vein (RHV) has been advocated for right lobe LDLT. But backwards tilt of a small graft into a large abdominal cavity may lead to a choking of the otherwise large anastomosis and thus we propose posterior enlargement of the orifice of the RHV.

KW - Adult

KW - Humans

KW - Male

KW - Female

KW - Middle Aged

KW - Multivariate Analysis

KW - Treatment Outcome

KW - Risk Assessment

KW - Survival Rate

KW - Follow-Up Studies

KW - Retrospective Studies

KW - Case-Control Studies

KW - Statistics, Nonparametric

KW - Kaplan-Meier Estimate

KW - Graft Survival

KW - Graft Rejection

KW - Postoperative Complications/prevention & control

KW - Anastomosis, Surgical/methods

KW - Constriction, Pathologic/prevention & control

KW - Hepatic Veins/physiopathology/surgery

KW - Liver Circulation/physiology

KW - Liver Transplantation/adverse effects/methods

KW - Living Donors

KW - Vascular Patency/physiology

KW - Vascular Surgical Procedures/methods

KW - Venous Pressure