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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.5
- 수록면
- 61 - 65 (5page)
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이 논문의 연구 히스토리 (2)
2016
Conjoined unification venoplasty for triple portal vein branches of right liver graft : a case report and technical refinement
Jae Hyun Kwon
,
Shin Hwang
,
Gi-Won Song
외 5명
Annals of Hepato-Biliary-Pancreatic Surgery
2016.05
학술저널
Conjoined unification venoplasty for triple portal vein branches of right liver graft : A case report and technical refinement
Jae Hyun Kwon
,
Shin Hwang
,
Gi-Won Song
외 5명
한국간담췌외과학회 학술대회지
2016.04
학술대회자료
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초록· 키워드
오류제보하기
Anomalous portal vein (PV) branching of the donor liver is uncommon and usually makes two, or rarely, more separate PV branches at the right liver graft. Autologous PV Y-graft interposition has long been regarded as the standard procedure, but is currently replaced with the newly developed technique of conjoined unification venoplasty (CUV) due to its superior results. Herein, we presented a case of CUV application to three PV openings of a right liver graft. The recipient was a 32-year-old male patient with hepatitis B virus-associated liver cirrhosis. The living liver donor was his 33-year-old sister who had a type III PV anomaly, but the right posterior PV branch was bifurcated early into separate branches of the segments VI and VII, thus three right liver PV branches were cut separately. We used the CUV technique consisting of placement of a small vein unification patch between three PV orifices, followed by overlying coverage with a crotch-opened autologous portal Y-graft. The portal Y-graft was excised and its crotches were incised to make a wide common orifice. Three bidirectional running sutures were required to attach the crotch-opened autologous portal Y-graft. After portal reperfusion, the conjoined PV portion bulged like a tennis ball, providing a wide range of alignment tolerance. The patient recovered uneventfully from the liver transplantation operation. The CUV technique enabled uneventful reconstruction of triple donor PV orifices. Thus, CUV can be a useful and effective technical option for reconstruction of right liver grafts with various anomalous PVs.
목차
INTRODUCTION
CASE PRESENTATION
DISCUSSION
REFERENCES
참고문헌 (12)
참고문헌 신청
Hwang S, Lee SG, Lee YJ, Sung KB, Park KM, Kim KH, et
al. Lessons learned from 1,000 living donor liver transplantations
in a single center: how to make living donations safe. Liver
Transpl 2006;12:920-927.
Marcos A, Orloff M, Mieles L, Olzinski A, Sitzmann J.
Reconstruction of double hepatic arterial and portal venous
branches for right-lobe living donor liver transplantation. Liver
Transpl 2001;7:673-679.
Thayer WP, Claridge JA, Pelletier SJ, Oh CK, Sanfey HA,
Sawyer RG, et al. Portal vein reconstruction in right lobe living-
donor liver transplantation. J Am Coll Surg 2002;194:96-98.
Lee SG, Hwang S, Kim KH, Ahn CS, Park KM, Lee YJ, et al.
Approach to anatomic variations of the graft portal vein in right
lobe living-donor liver transplantation. Transplantation 2003;75(3
Suppl):S28-S32.
Hwang S, Lee SG, Ahn CS, Kim KH, Moon DB, Ha TY, et
al. Technique and outcome of autologous portal Y-graft interposition
for anomalous right portal veins in living donor liver
transplantation. Liver Transpl 2009;15:427-434.
Marcos A, Orloff M, Mieles L, Olzinski A, Sitzmann J.
Reconstruction of double hepatic arterial and portal venous
branches for right-lobe living donor liver transplantation. Liver
Transpl 2001;7:673-679.
Thayer WP, Claridge JA, Pelletier SJ, Oh CK, Sanfey HA,
Sawyer RG, et al. Portal vein reconstruction in right lobe living-
donor liver transplantation. J Am Coll Surg 2002;194:96-98.
Lee SG, Hwang S, Kim KH, Ahn CS, Park KM, Lee YJ, et al.
Approach to anatomic variations of the graft portal vein in right
lobe living-donor liver transplantation. Transplantation 2003;75(3
Suppl):S28-S32.
Hwang S, Lee SG, Ahn CS, Kim KH, Moon DB, Ha TY, et
al. Technique and outcome of autologous portal Y-graft interposition
for anomalous right portal veins in living donor liver
transplantation. Liver Transpl 2009;15:427-434.
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Long-term results of conjoined unification venoplasty for multiple portal vein branches of the right liver graft in living donor liver transplantations
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Conjoined unification venoplasty for triple portal vein branches of right liver graft : A case report and technical refinement
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Standardized surgical techniques for adult living donor liver transplantation using a modified right lobe graft : a video presentation from bench to reperfusion
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Portal vein reconstruction using side-to-side unification technique for infant-to-infant deceased donor whole liver transplantation
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Long-term patency of all-in-one sleeve outflow vein venoplasty in living donor liver transplantation using a right liver graft
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Usefulness of Artificial Jump Graft to Portal Vein Thrombosis in Deceased Donor Liver Transplantation
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Anatomical limits in living donor liver transplantation
Clinical Transplantation and Research
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Pediatric deceased donor liver transplantation with in situ size reduction for recipient-graft size matching
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Clinical sequence of an adult recipient undergone split liver transplantation using a right liver graft with erroneous deprivation of the middle hepatic vein trunk: a case report
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Machine learning improves the accuracy of graft weight prediction in living donor liver transplantation
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Pediatric liver transplantation using a hepatitis B surface antigen-positive donor liver graft for congenital absence of the portal vein
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Pediatric liver transplantation with hyperreduced left lateral segment graft
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UCI(KEPA) : I410-ECN-0101-2016-514-002837281