Premium
Anatomical keys and pitfalls in living donor liver transplantation
Author(s) -
Imamura Hiroshi,
Makuuchi Masatoshi,
Sakamoto Yoshihiro,
Sugawara Yasuhiko,
Sano Keiji,
Nakayama Ataru,
Kawasaki Seiji,
Takayama Tadatoshi
Publication year - 2000
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s005340070033
Subject(s) - liver transplantation , medicine , transplantation , living donor liver transplantation , cadaveric spasm , surgery , general surgery
The surgery of living donor liver transplantation is more technically challenging than cadaveric whole liver transplantation and liver resection for the treatment of various pathological conditions. It requires a thorough understanding of the intra‐ and extra‐hepatic anatomical relationships between the portal vein, hepatic artery, biliary tract, and hepatic vein, and also their respective contributions to liver physiology. Although a precise understanding of general anatomical principles is the key to correctly performing living donor liver transplantation procedures, anatomic anomalies are often present, and the means of detecting them and the surgical methods of coping with them represent technical challenges. In this monograph, we describe the anatomical keys and pitfalls of living donor liver transplantation surgery based on our own experience with more than 1800 hepatectomies, and 150 living donor liver transplantations. We also elaborate on techniques of selective intermittent vascular occlusion and their teleological and practical background.