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Better innovate than compromise: A novel hepatic outflow reconstruction technique in pediatric living donor liver transplantation
Author(s) -
Cherian P. Thomas,
Mishra Ashish K.,
Bangaari Ashish,
Kota Venugopal,
Sathyanarayanan Mohan,
Raya Ravichandra,
Rela Mohamed
Publication year - 2015
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/petr.12437
Subject(s) - medicine , compromise , anastomosis , living donor liver transplantation , donation , outflow , surgery , transplantation , liver transplantation , social science , physics , sociology , meteorology , economics , economic growth
Pediatric LDLT using donors with unfavorable vascular anatomy is challenging in terms of donor safety, and complexity of reconstruction in the recipient. We describe an innovative technique of hepatic venous outflow reconstruction involving the recipient RHV , in the presence of a rudimentary RHV in the donor. The postoperative course of the donor and recipient was uneventful with satisfactory venous outflow in both. This technique avoided the use of prosthetic material, an important consideration given the recipient age and requirement for growth. This shows that donors previously considered unsuitable for donation can be utilized safely as long as principles of vascular anastomosis are adhered to. Moreover, it highlights that innovation is sometimes necessary to avoid compromise in donor safety.