%0 Journal Article
%T Venous Outflow Reconstruction in Adult Living Donor Liver Transplant: Outcome of a Policy for Right Lobe Grafts without the Middle Hepatic Vein
%A Mohamed Ghazaly
%A Mohamad T. Badawy
%A Hosam El-Din Soliman
%A Magdy El-Gendy
%A Tarek Ibrahim
%A Brian R. Davidson
%J HPB Surgery
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/280857
%X Introduction. The difficulty and challenge of recovering a right lobe graft without MHV drainage is reconstructing the outflow tract of the hepatic veins. With the inclusion or the reconstruction of the MHV, early graft function is satisfactory. The inclusion of the MHV or not in the donor¡¯s right lobectomy should be based on sound criteria to provide adequate functional liver mass for recipient, while keeping risk to donor to the minimum. Objective. Reviewing the results of a policy for right lobe grafts transplant without MHV and analyzing methods of venous reconstruction related to outcome. Materials and Methods. We have two groups Group A (with more than one HV anast.) ( ) and Group B (single HV anast.) ( ). Both groups were compared regarding indications for reconstruction, complications, and operative details and outcomes, besides describing different modalities used for venous reconstruction. Results. Significant increase in operative details time in Group A. When comparison came to complications and outcomes in terms of laboratory findings and overall hospital stay, there were no significant differences. Three-month and one-year survival were better in Group A. Conclusion. Adult LDLT is safely achieved with better outcome to recipients and donors by recovering the right lobe without MHV, provided that significant MHV tributaries (segments V, VIII more than 5£¿mm) are reconstructed, and any accessory considerable inferior right hepatic veins (IRHVs) or superficial RHVs are anastomosed. 1. Introduction Chronic liver disease and cirrhosis are important causes of morbidity and mortality in the world. Moreover, the burden of chronic liver disease is projected to increase due in part to the increasing prevalence of end-stage liver disease and HCC secondary to NAFLD and HCV. Liver transplantation is the best treatment option for end-stage liver disease, including early HCC associated with advanced cirrhosis. However, the application of liver transplantation is severely limited by the shortage of deceased donor grafts; hence many patients die from progression of the disease while waiting for a graft [1]. The shortage of cadaveric livers has sparked an interest in living donor liver transplantation (LDLT). LDLT may increase the liver graft pool and reduce waiting list mortality [2, 3]. In adults, right hemiliver graft can satisfy the demands of the recipient¡¯s metabolism and prevent small-for-size syndrome. The difficulty and challenge of LDLT without MHV drainage is providing adequate venous drainage of the graft [4, 5]. Obstruction of venous outflow
%U http://www.hindawi.com/journals/hpb/2013/280857/