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, Vol. 396, No. 3, 3, 2011, p. 389-395.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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
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
M3 - SCORING: Journal article
VL - 396
SP - 389
EP - 395
JO - LANGENBECK ARCH SURG
JF - LANGENBECK ARCH SURG
SN - 1435-2443
IS - 3
M1 - 3
ER -