Monday, August 20, 2012

Whole deceased liver transplant...classical

The classical whole deceased donor liver transplant is a time honored surgical technique from the early days of liver transplantation. Although most centers around the world have all but abandoned this technique in favour of the more recent 'piggyback' technique, it is worth mentioning here for the sake of  the non physician readers.
In the classical technique after the division of the blood vessels that take blood into the diseased liver of the patient ( hepatic artery and portal vein), the inferior vena cava below and above the liver is clamped and the diseased liver is removed along with the retrohepatic inferior vena cava. The whole donor liver is then sewn in the following sequence: supra hepatic vena cava-donor suprahepatic vena cava, infra-hepatic vena cava-donor infrahepatic vena cava, portal vein to donor portal vein and hepatic artery to donor hepatic artery.

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