A REPORT OF THREE CASES WITH IMPROVED PIGGYBACK ORTHOTOPIC LIVER TRANSPLANTATION / 解放军医学杂志

ABSTRACT

Piggyback orthotopic liver transplantation was performed in three patients with terminal liver disease.After resection of the patient′s liver with preservation of the recipient inferior vena cava,the donor liver was transplanted into the patient with an end to end anastomosis of the inferior vena cava above the liver,portal vein,hepatic artery and common bile duct between the donor and the recipient liver,with the ligation of subhepatic inferior vena cava.The liver rejection was controlled by FK506,Xiaoxi and prednisone. We reinforced monitoring of the patient and infection was prevented after the operation.So far,two patients have survived and led a normal life for 12 and 9 months,respectively.The third patient died of renal failure on the postoperative 14 days.The liver transplantation is a safe and effective curative means for terminal liver disease.