Feasibility and outcomes of living-donor liver transplantation utilizing the right hemi-liver graft with portal vein anatomical variations - Summary - MDSpire

Feasibility and outcomes of living-donor liver transplantation utilizing the right hemi-liver graft with portal vein anatomical variations

  • By

  • Ahmed Shehta

  • Mohamed Elshobari

  • Tarek Salah

  • Ahmad M. Sultan

  • Amr Yasen

  • Usama Shiha

  • Mohamed El-Saadany

  • Ahmed Monier

  • Rami Said

  • Mohamed S. Habl

  • Reham Adly

  • Basma Abd Elmoaem El Ged

  • Rasha Karam

  • Reem Khaled

  • Hassan Magdy Abd El Razek

  • Ehab E. Abdel-Khalek

  • Mohamed Abdel Wahab

  • October 4, 2023

  • 0 min

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Objective:

To estimate the incidence of right portal vein (RPV) anatomical variations among liver donors and evaluate different reconstruction techniques for portal flow reconstruction in living-donor liver transplantation (LDLT) using right hemi-liver grafts, including a comparison of their effectiveness.

Key Findings:
  • Incidence of portal venous variations ranged from 10% to 35%, highlighting the need for tailored surgical approaches.
  • Various surgical techniques were utilized, including direct venoplasty, autologous Y-graft interposition, and in situ dual PV anastomoses, each with specific indications and outcomes.
  • The study is the first from Egyptian centers addressing LDLT with right hemi-liver grafts and RPV variations, contributing valuable data to the field.
Interpretation:

The findings suggest that LDLT using right hemi-liver grafts with RPV anatomical variations is feasible with appropriate surgical techniques, although the ideal method for reconstruction remains debated, indicating a need for further research.

Limitations:
  • Retrospective nature may introduce bias, affecting the reliability of the findings.
  • Single-center study limits generalizability, suggesting the need for multi-center studies to validate results.
Conclusion:

LDLT utilizing right hemi-liver grafts with RPV anatomical variations is feasible, and various reconstruction techniques can be successfully employed.

Original Source(s)

Feasibility and outcomes of living-donor liver transplantation utilizing the right hemi-liver graft with portal vein anatomical variations

  • by Ahmed Shehta, Mohamed Elshobari, Tarek Salah, Ahmad M. Sultan, Amr Yasen, Usama Shiha, Mohamed El-Saadany, Ahmed Monier, Rami Said, Mohamed S. Habl, Reham Adly, Basma Abd Elmoaem El Ged, Rasha Karam, Reem Khaled, Hassan Magdy Abd El Razek, Ehab E. Abdel-Khalek, Mohamed Abdel Wahab

  • October 4, 2023

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