Reconstruction of Anomalous Portal Venous Branching in Right Lobe Living Donor Liver Transplantation: Malatya Approach

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dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authoridOzdemir, Fatih/0000-0003-0292-3602
dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridKutluturk, Koray/0000-0002-7030-4953
dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authoridAtes, Mustafa/0000-0003-2821-453X
dc.authoridErsan, Veysel/0000-0002-1510-0288
dc.authorwosidSumer, Fatih/F-8042-2017
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidOzdemir, Fatih/ABH-2875-2020
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.authorwosidYilmaz, Mehmet/AAF-6095-2021
dc.authorwosidKutluturk, Koray/S-5493-2019
dc.authorwosidPiskin, Turgut/HKV-8614-2023
dc.contributor.authorYilmaz, Sezai
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorIsik, Burak
dc.contributor.authorErsan, Veysel
dc.contributor.authorOtan, Emrah
dc.contributor.authorAkbulut, Sami
dc.contributor.authorDirican, Abuzer
dc.date.accessioned2024-08-04T20:43:10Z
dc.date.available2024-08-04T20:43:10Z
dc.date.issued2017
dc.departmentİnönü Üniversitesien_US
dc.description.abstractReconstruction of anomalous portal vein branching (APVB) during right lobe living donor liver transplantation (LDLT) can be challenging. The goal of this article is to describe our surgical technique, named the Malatya Approach, in case of APVB during right lobe LDLT. The technique unifies the APVB and obtains a funnel-shaped common extension with a circumferential fence by a saphenous vein conduit. In total, 126 (10.6%) of 1192 right lobe grafts had APVB that were divided into 2 groups according to the adopted surgical techniques: the Malatya Approach group (n=91) and the previously defined other techniques group (n=35). Both groups were compared regarding portal vein thrombosis (PVT), postoperative 90-day mortality and survival. PVT developed in 3 patients (3.3%) in the Malatya Approach group and developed in 10 (28.6%) patients for the other group (P<0.001). There were 8 (8.8%) 90-day mortalities in the Malatya Approach group (1 PVT related) and 15 patients (9 PVT related) died in the other techniques group (P<0.001). Mean follow-up time for both groups was similar (999.1 days for the Malatya Approach group versus 1024.7 days for the other group; P=0.47), but longterm survival in the Malatya Approach group was better than in the other group (84.6% versus 40%; P<0.001). Multivariate analysis revealed that the Malatya Approach group showed less PVT development and longer survival (P<0.001). This technique is promising to avoid PVT and mortalities in cases of APVB during right lobe LDLT. (C) 2017 AASLD.en_US
dc.identifier.doi10.1002/lt.24753
dc.identifier.endpage761en_US
dc.identifier.issn1527-6465
dc.identifier.issn1527-6473
dc.identifier.issue6en_US
dc.identifier.pmid28240812en_US
dc.identifier.scopus2-s2.0-85019903333en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage751en_US
dc.identifier.urihttps://doi.org/10.1002/lt.24753
dc.identifier.urihttps://hdl.handle.net/11616/97830
dc.identifier.volume23en_US
dc.identifier.wosWOS:000402138900006en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofLiver Transplantationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectY-Graft Interpositionen_US
dc.subjectAnatomic Variationsen_US
dc.subjectVeinen_US
dc.titleReconstruction of Anomalous Portal Venous Branching in Right Lobe Living Donor Liver Transplantation: Malatya Approachen_US
dc.typeArticleen_US

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