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Middle hepatic vein allocation in adult right lobe living donor liver transplantation
Author(s) -
Zhijun Zhu,
Wei Gao,
Lin Wei,
Zhigui Zeng,
Tao Yang,
Liying Sun,
Wei Qu,
Jisan Sun,
Yi Lv
Publication year - 2014
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.12362
Subject(s) - medicine , living donor liver transplantation , lobe , surgery , vein , liver transplantation , transplantation , left lobe , portal vein , liver lobe , pathology
When adult‐to‐adult living donor liver transplantation ( LDLT ) using the right lobe is carried out, there is disagreement between different centers as to whether the middle hepatic vein ( MHV ) is included or retained by the donor. Methods Ninety‐two cases of adult‐to‐adult LDLT were performed between January 2007 and December 2010 using a right lobe graft. A protocol for MHV allocation was applied according to the donor's remnant liver volume, overall graft/recipient weight ratio ( GRWR ), and anatomic characteristics of the hepatic vein. Among these cases, there were 44 cases with MHV and 48 cases without MHV . No blood products were used during donor operations, and there was no occurrence of death or small‐for‐size syndrome after operations. Results There were statistical differences between Groups I and II according to the ages of the recipients, the actual GRWR , the weights of grafts, the cold storage time of grafts, etc. All patients recovered smoothly; one‐, three‐, and five‐yr survival rates of patients were 96.7%, 92.4%, and 92.4% and of grafts were 95.7%, 91.3%, and 91.3%, respectively. Conclusion With a reasonable allocation protocol and precise evaluation, either MHV harvested or MHV retained to the donor during adult‐to‐adult LDLT using the right lobe can achieve good outcome.