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Am J Surg. 1995 Feb;169(2):277-9.

Temporary portocaval anastomosis with preservation of caval flow during orthotopic liver transplantation.

Author information

  • 1Department of Digestive Surgery, Hôpital Beaujon, University of Paris VII, Clichy-Paris, France.

Abstract

BACKGROUND:

A novel technique of orthotopic liver transplantation was developed whereby both vena caval and portal venous blood flows are preserved during the entire procedure.

PATIENTS AND METHODS:

This method of liver transplantation was successfully performed in 51 consecutive patients and included a temporary portocaval shunt, a total hepatic resection with vena caval preservation, and an end-to-side cavocaval anastomosis.

RESULTS:

Preservation of vena cava and portocaval anastomosis were feasible in 51 patients (100%), including 34 patients with cirrhosis and 2 patients undergoing elective retransplantation. Both caval and portal flows were preserved during the entire procedure in 48 patients (94%). No venovenous bypass was required. Four deaths (7.8%) occurred postoperatively, all of them unrelated to the surgical procedure.

CONCLUSION:

We believe adoption of this orthotopic liver transplantation technique will obviate the need for venovenous bypass.

PMID:
7840394
[PubMed - indexed for MEDLINE]
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