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Use of right lobe graft with type IV portal vein accompanied by type IV biliary tree in living donor liver transplantation: report of a case
Article em En | WPRIM | ID: wpr-152266
Biblioteca responsável: WPRO
ABSTRACT
Anatomic variations of the portal vein (PV) and bile duct (BD) are more common on the right lobe as compared with left lobe grafts in living donor liver transplantation (LDLT). We recently experienced a case of LDLT for hepatocellular carcinoma combined with liver cirrhosis secondary to hepatitis B virus and hepatitis C virus infection. The only available donor had right lobe graft with type IV PV associated with type IV BD. The patient underwent relaparotomy for PV stenting due to PV stenosis. Percutaneous transhepatic biliary drainage was done for a stricture at the site of biliary reconstruction. Thereafter, the patient was discharged in good health. Our experience suggests that, the use of right lobe graft with type IV PV accompanied by type IV BD should be the last choice for LDLT, because of its technical difficulty and risks of associated complications.
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Texto completo: 1 Índice: WPRIM Assunto principal: Veia Porta / Complicações Pós-Operatórias / Doadores de Tecidos / Ductos Biliares / Sistema Biliar / Stents / Drenagem / Vírus da Hepatite B / Transplante de Fígado / Hepacivirus Limite: Humans Idioma: En Revista: Annals of Surgical Treatment and Research Ano de publicação: 2014 Tipo de documento: Article
Texto completo: 1 Índice: WPRIM Assunto principal: Veia Porta / Complicações Pós-Operatórias / Doadores de Tecidos / Ductos Biliares / Sistema Biliar / Stents / Drenagem / Vírus da Hepatite B / Transplante de Fígado / Hepacivirus Limite: Humans Idioma: En Revista: Annals of Surgical Treatment and Research Ano de publicação: 2014 Tipo de documento: Article