Living donor liver transplantation for Budd-Chiari syndrome: Overcoming a troublesome situation

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dc.authoridince, volkan/0000-0002-0714-490X
dc.authoridKARAKAS, SERDAR/0000-0001-8314-7806
dc.authoridBASKIRAN, ADIL/0000-0002-7536-1631
dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authorwosidince, volkan/M-7325-2017
dc.authorwosidKARAKAS, SERDAR/AAB-3219-2021
dc.authorwosidBASKIRAN, ADIL/ABI-2356-2020
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.contributor.authorAra, Cengiz
dc.contributor.authorAkbulut, Sami
dc.contributor.authorInce, Volkan
dc.contributor.authorKarakas, Serdar
dc.contributor.authorBaskiran, Adil
dc.contributor.authorYilmaz, Sezai
dc.date.accessioned2024-08-04T20:42:47Z
dc.date.available2024-08-04T20:42:47Z
dc.date.issued2016
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground:The aim of the study was to report the detailed surgical techniques of living donor liver transplantation (LDLT) in patients with Budd-Chiari syndrome (BCS).Methods:Demographic and surgical techniques characteristics of 39 patients with BCS who underwent LDLT were retrospectively reviewed. Thirty-two of them had native vena cava inferior (VCI) preservation and 6 had retrohepatic VCI resection with venous continuity established by cryopreserved VCI (n = 4) or aortic graft (n = 2). In 1 patient, the anastomosis was established between the graft hepatic vein (HV) and the suprahepatic VCI. For preservation of the native VCI, immediately before the graft implantation, the thickened anterior, and right/left lateral walls of the recipient VCI were resected caudally and cranially until the intact vein wall was reached, and then an anastomosis was created between the (HV) of the graft reconstructed as a circumferential fence and the reconstructed recipient VCI. For resection of the retrohepatic VCI, the anastomosis was created with the same technique in all 6 patients in whom VCI was reformed by using a vascular graft.Results:Post-LT complications developed in 19 of the patients. Complications related to the biliary anastomosis accounted for 12 of these cases, with 11 treated by PTC and/or ERCP, and 1 by hepaticojejunostomy. Two of the 39 patients developed recurrent BCS and were treated by interventional radiological methods. Thirteen patients died and none were related to the BCS recurrence.Conclusion:Favorable outcomes are achievable with LDLT treatment of patients with BCS, which carries important implications for countries with inadequate cadaveric donor pools.en_US
dc.identifier.doi10.1097/MD.0000000000005136
dc.identifier.issn0025-7974
dc.identifier.issn1536-5964
dc.identifier.issue43en_US
dc.identifier.pmid27787368en_US
dc.identifier.scopus2-s2.0-84995923270en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.1097/MD.0000000000005136
dc.identifier.urihttps://hdl.handle.net/11616/97590
dc.identifier.volume95en_US
dc.identifier.wosWOS:000387272700016en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofMedicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectanastomosis techniqueen_US
dc.subjectBudd-Chiari syndromeen_US
dc.subjectliver transplantationen_US
dc.subjectliving donor liver transplantationen_US
dc.subjecttechnical difficultiesen_US
dc.titleLiving donor liver transplantation for Budd-Chiari syndrome: Overcoming a troublesome situationen_US
dc.typeArticleen_US

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