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A new vascular approach to the modified multivisceral graft procurement
Author(s) -
Fridell Jonathan A.,
Joseph Tector A.,
Mangus Richard S.,
Kazimi Marwan M.,
Hollinger Edward F.,
Vianna Rodrigo M.
Publication year - 2009
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/j.1399-0012.2008.00918.x
Subject(s) - medicine , organ procurement , artery , splenic artery , left gastric artery , surgery , stomach , gastroduodenal artery , transplantation , liver transplantation , radiology
Modified multivisceral (MMV) transplantation including the stomach, pancreaticoduodenal complex and intestine requires preservation of the left gastric and splenic arteries. The previously described techniques require division of the hepatic artery proximal to the gastroduodenal artery leaving the liver transplant team with a very short and small caliber vessel. To increase MMV graft availability and provide the liver transplant team with an appropriate quality vessel, we developed the following technique. We also describe two cases where we used this method to support the technical feasibility of this procedure.