Temporary portal decompression during liver transplantation: a video review of the different techniques.
Langenbecks Arch Surg
; 406(1): 227-231, 2021 Feb.
Article
em En
| MEDLINE
| ID: mdl-32965584
ABSTRACT
PURPOSE:
Temporary portal decompression (TPD) during liver transplantation (LT) remains a divisive technical issue in the liver transplant community. In this video-based article, we show the technical details of the different techniques used for TPD during LT.METHODS:
An early portal section, before liver mobilization, should be preferred in order to achieve hepatectomy of a totally devascularized liver. Portal decompression can be achieved through direct right portocaval shunts and indirect portosystemic shunts (i.e., mesentericosaphenous and portosaphenous shunts).RESULTS:
The preference for direct portocaval or indirect portosystemic shunts is tailored on patients and anatomical characteristics. Each of these three techniques presents specific indications, limitations, and advantages.CONCLUSION:
TPD during LT can be achieved through different techniques that aim to facilitate the recipient hepatectomy, reduce the blood loss, and maintain hemodynamic stability.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transplante de Fígado
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article