Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Feasibility and outcomes of living-donor liver transplantation utilizing the right hemi-liver graft with portal vein anatomical variations
Langenbeck's Archives of Surgery, Volume 408, No. 1, Article 387, Year 2023
Notification
URL copied to clipboard!
Description
Purpose: Portal vein (PV) reconstruction is a key factor for successful living-donor liver transplantation (LDLT). Anatomical variations of right PV (RPV) are encountered among potential donors. Methods: To evaluate a single center experience of reconstruction techniques for the right hemi-liver grafts with PV variations during the period between May 2004 and 2022. Results: A total of 915 recipients underwent LDLT, among them 52 (5.8%) had RPV anatomical variations. Type II PV was found in 7 cases (13.5%), which were reconstructed by direct venoplasty. Type III PV was found in 27 cases (51.9%). They were reconstructed by direct venoplasty in 2 cases (3.8%), Y graft interposition in 2 cases (3.8%), and in situ double PV anastomoses in 23 cases (44.2%). Type IV PV was found in 18 cases (34.6%) and was reconstructed by Y graft interposition in 9 cases (17.3%), and in situ double PV anastomoses in 9 cases (17.3%). Early right posterior PV stenosis occurred in 2 recipients (3.8%). Early PV thrombosis occurred in 3 recipients (5.8%). The median follow-up duration was 54.5 months (4 – 185). The 1-, 3-, and 5-years survival rates were 91.9%, 86%, and 81.2%, respectively. Late PV stenosis occurred in 2 recipients (3.8%) and was managed conservatively. Conclusion: Utilization of potential living donors with RPV anatomic variations may help to expand the donor pool. We found that direct venoplasty and in situ dual PV anastomoses techniques were safe, feasible, and associated with successful outcomes. © 2023, The Author(s).
Authors & Co-Authors
Shehta, Ahmed
Egypt, Mansoura
Faculty of Medicine
Elshobari, Mohamed Morsi
Egypt, Mansoura
Faculty of Medicine
Salah, Tarek
Egypt, Mansoura
Faculty of Medicine
Sultan, Ahmad M.
Egypt, Mansoura
Faculty of Medicine
Yasen, Amr
Egypt, Mansoura
Faculty of Medicine
Shiha, Usama A.
Egypt, Mansoura
Faculty of Medicine
El-Saadany, Mohamed
Egypt, Mansoura
Faculty of Medicine
Monier, Ahmed
Egypt, Mansoura
Faculty of Medicine
Said, Rami
Egypt, Mansoura
Faculty of Medicine
Habl, Mohamed S.
Egypt, Mansoura
Faculty of Medicine
Adly, Reham
Egypt, Mansoura
Faculty of Medicine
Karam, Rasha
Egypt, Mansoura
Faculty of Medicine
Khaled, Reem
Egypt, Mansoura
Faculty of Medicine
El Razek, Hassan Magdy Abd
Egypt, Mansoura
Faculty of Medicine
Abdel-Khalek, E. E.
Egypt, Mansoura
Faculty of Medicine
Wahab, Mohamed Abdel
Egypt, Mansoura
Faculty of Medicine
Statistics
Authors: 16
Affiliations: 1
Identifiers
Doi:
10.1007/s00423-023-03115-9
ISSN:
14352443
Study Design
Cohort Study