Hepatoduodenal ligament dissection technique during recipient hepatectomy for liver transplantation How I do it
Yükleniyor...
Dosyalar
Tarih
2016
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
World journal of transplantation
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Accurate dissection of the hepatoduodenal ligament in
the recipient is vital for the success of liver transplantation
surgery. High incidence of anatomic variations
at the hepatic artery, portal vein and biliary ducts in the hepatoduodenal ligament is well known. Surgical
experience is important to be able to foresee the most
common anatomic diversities and the possible variations,
in order to make a safe and accurate dissection
in the hepatic hilum. Before anastomosis, all these
hilar structures must be well identified, safely dissected
and must also have a sufficient length for the coming
implantation process. At the beginning of our program,
we were starting the hepatic hilum dissection close to
the liver. In time, however, we modified our surgical
technique, preferring to start further away from the
liver (closer to the duodenum). This length increased
progressively over 1500 liver transplantations (80%
living donor liver transplantation). During this process,
our main purpose was the early control of the hepatic
artery (artery first approach). In this paper, our aim
is to share our latest version of the hepatoduodenal
ligament dissection technique. We also describe alternative
approaches used in extraordinary situations.
Açıklama
Anahtar Kelimeler
Liver transplantation, Living donor liver transplantation, Surgical technique
Kaynak
World journal of transplantation
WoS Q Değeri
Scopus Q Değeri
Cilt
6
Sayı
2
Künye
Yılmaz, S. Kayaalp, C. Tolan, K. (2016). Hepatoduodenal ligament dissection technique during recipient hepatectomy for liver transplantation How I do it. World journal of transplantation. 6,(2) ; 272-277.
