Display options
Cite
Lladó L, Figueras J. Techniques of orthotopic liver transplantation. HPB (Oxford). 2004;6(2):69-75doi: 10.1080/13651820310020756.
Lladó, L., & Figueras, J. (2004). Techniques of orthotopic liver transplantation. HPB : the official journal of the International Hepato Pancreato Biliary Association, 6(2), 69-75. https://doi.org/10.1080/13651820310020756
Lladó, L, and Figueras, J. "Techniques of orthotopic liver transplantation." HPB : the official journal of the International Hepato Pancreato Biliary Association vol. 6,2 (2004): 69-75. doi: https://doi.org/10.1080/13651820310020756
Lladó L, Figueras J. Techniques of orthotopic liver transplantation. HPB (Oxford). 2004;6(2):69-75. doi: 10.1080/13651820310020756. PMID: 18333053; PMCID: PMC2020659.
Copy Download .nbib Format: NLM
Share it on

HPB (Oxford). 2004;6(2):69-75. doi: 10.1080/13651820310020756.

Techniques of orthotopic liver transplantation.

HPB : the official journal of the International Hepato Pancreato Biliary Association

L Lladó, J Figueras

Affiliations

  1. Liver Transplant Unit, Department of Surgery, Hospital Bellvitge, University of Barcelona, Spain.

PMID: 18333053 PMCID: PMC2020659 DOI: 10.1080/13651820310020756

Abstract

BACKGROUND: Throughout the history of liver transplantation many improvements have been made in the field of surgical technique. It is beyond the scope of this paper to review all aspects of surgical technique in liver transplantation; thus, in this review we focus on the description of our current technique in most cases, which is orthotopic liver transplantation with preservation of the inferior vena cava and temporary portocaval shunt. We advocate this technique because it has been demonstrated that it achieves better haemodynamic stability during the anhepatic phase, transfusion can be reduced and renal function is improved. The different options for vascular anastomoses are described, particularly the options for arterial anastomoses in case of finding a non-adequate recipient hepatic artery. Technical possibilities for patients with preoperative portal vein thrombosis and the procedure in case of domino or sequential liver transplantation are further explained.

References

  1. J Am Coll Surg. 1999 Dec;189(6):584-93 - PubMed
  2. Transplantation. 1997 Aug 27;64(4):655-8 - PubMed
  3. Ann Surg. 1991 Mar;213(3):199-206 - PubMed
  4. Br J Surg. 1969 Oct;56(10):729-36 - PubMed
  5. World J Surg. 1993 Sep-Oct;17(5):669-74 - PubMed
  6. Surgery. 1990 May;107(5):544-8 - PubMed
  7. Liver Transpl Surg. 1997 Sep;3(5):518-25 - PubMed
  8. Ann Surg. 1968 Sep;168(3):392-415 - PubMed
  9. Lancet. 1979 Nov 17;2(8151):1033-6 - PubMed
  10. Anesthesiology. 1987 Nov;67(5):848-51 - PubMed
  11. Surg Gynecol Obstet. 1960 Dec;111:733-43 - PubMed
  12. Br Med J. 1968 Nov 30;4(5630):535-40 - PubMed
  13. Transplant Proc. 2002 Feb;34(1):307-8 - PubMed
  14. Surg Gynecol Obstet. 1985 Mar;160(3):270-2 - PubMed
  15. Transplant Proc. 1993 Aug;25(4):2588-9 - PubMed
  16. Surg Gynecol Obstet. 1991 Sep;173(3):198-202 - PubMed
  17. Transpl Int. 1997;10(2):109-12 - PubMed
  18. Ann Surg. 1989 Nov;210(5):649-52 - PubMed
  19. Am J Surg. 1995 Feb;169(2):277-9 - PubMed
  20. Transpl Int. 1997;10(5):407-8 - PubMed
  21. Liver Transpl. 2001 Oct;7(10):904-11 - PubMed
  22. Surg Gynecol Obstet. 1963 Dec;117:659-76 - PubMed
  23. Br J Surg. 1995 Jul;82(7):986-9 - PubMed
  24. Transplantation. 1994 Oct 15;58(7):793-6 - PubMed
  25. Transplantation. 1998 Mar 15;65(5):619-24 - PubMed
  26. Transplantation. 1995 Oct 27;60(8):877-9 - PubMed
  27. Surg Gynecol Obstet. 1992 Sep;175(3):270-2 - PubMed
  28. Transplant Proc. 1999 Sep;31(6):2406 - PubMed
  29. Surgery. 1992 Feb;111(2):151-5 - PubMed
  30. Semin Liver Dis. 1985 Nov;5(4):349-56 - PubMed
  31. Surg Gynecol Obstet. 1990 Mar;170(3):239-44 - PubMed
  32. J Am Coll Surg. 2000 Jan;190(1):89-93 - PubMed
  33. Transplant Proc. 1994 Dec;26(6):3552-3 - PubMed
  34. Surg Gynecol Obstet. 1993 Feb;176(2):180-2 - PubMed
  35. Ann Surg. 1984 Oct;200(4):524-34 - PubMed

Publication Types