Better innovate than compromise: A novel hepatic outflow reconstruction technique in pediatric living donor liver transplantation. (6th February 2015)

• Record Type: Journal Article
• Authors: Cherian, P. Thomas; Mishra, Ashish K.; Bangaari, Ashish; Kota, Venugopal; Sathyanarayanan, Mohan; Raya, Ravichandra; Rela, Mohamed
• Is Part Of: Pediatric transplantation. Volume 19:Number 3(2015:May)
• Page Start: E56
• Page End: E61
• Publication Date: 2015-02-06
• Subjects: live donor safety -- hepatic outflow obstruction -- innovative technique -- acute liver failure -- graft survival -- pediatric liver transplantation; Transplantation of organs, tissues, etc. in children -- Periodicals; 617.95408305
• DOI: 10.1111/petr.12437
• Languages: English
• ISSNs: 1397-3142

Abstract

Abstract: 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.