Korean J Hepatobiliary Pancreat Surg.  2007 Sep;11(3):14-20.

Technical refinement of the anterior sectional drainage in right liver transplantation: a single center experience

• Yi NJ
• Suh KS
• Kim J
• Shin WY
• Lee HW
• Lee KU

Abstract

Much progress has been made during the last 15 years in the technical aspect of living donor liver transplantation (LDLT). Understanding of the detailed anatomy and performing precise donor hepatectomy have contributed to this progress. One of the most important points is to solve the problem of anterior congestion that occurs in right liver transplantation, and this can lead to graft dysfunction. This review focuses on the various types of donor right hepatectomy and venous reconstruction for drainage of the anterior section in the recipient. Technical refinement of the anterior sectional drainage in right liver transplantation is currently an issue that transplant surgeons would like to see resolved. In LDLT, donor safety overrides the benefit for the recipient. Technical innovations should be balanced with the basic principle of the transplant team, "no harm" to the live donors.

Keyword

Living Donor Liver Transplantation; Donor Hepatectomy; Modified Extended Right Liver Graft; Modified Right Liver Graft; Anterior Section Congestion

MeSH Terms

Drainage*
Estrogens, Conjugated (USP)
Hepatectomy
Humans
Liver Transplantation*
Liver*
Living Donors
Tissue Donors
Transplants
Estrogens, Conjugated (USP)