Abstract
Inferior vena cava (IVC) preservation during orthotopic liver transplantation (OLT) is known as the "piggyback" technique. The end-to-side anastomosis is constructed between the graft's IVC and recipient's hepatic veins using a Satinsky side clamp applied in a transverse position. To stabilize the large Satinsky clamp and preserve a sufficient vascular stump after hepatectomy and before graft implantation, we propose a technical innovation consisting of hanging the septa between the left and middle hepatic vein and between the middle and right hepatic vein using 2 tapes. This technique showed some advantages when performing the caval outflow anastomosis, representing a further technical refinement of the piggyback end-to-side technique for the implantation on the 3 hepatic veins. From November 2001 to September 2012, we performed 272 consecutive OLT at our institution with the piggyback technique using the hanging of the hepatic veins septa in all cases. In conclusion, the hanging of the 3 hepatic veins septa presented in this study represents a simple, safe and reproducible technique for the outflow anastomosis using the piggyback technique.
| Original language | English |
|---|---|
| Pages (from-to) | 3314-3315 |
| Number of pages | 2 |
| Journal | Transplantation Proceedings |
| Volume | 45 |
| Issue number | 9 |
| DOIs | |
| Publication status | Published - Nov 2013 |
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ASJC Scopus subject areas
- Surgery
- Transplantation
Cite this
Hanging of the hepatic veins septa : A safe control prior and during outflow anastomosis in liver transplantation. / Ettorre, G. M.; Santoro, R.; Lepiane, P.; Laurenzi, A.; Colasanti, M.; Meniconi, R. L.; Colace, L.; Antonini, M.; Vennarecci, G.
In: Transplantation Proceedings, Vol. 45, No. 9, 11.2013, p. 3314-3315.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Hanging of the hepatic veins septa
T2 - A safe control prior and during outflow anastomosis in liver transplantation
AU - Ettorre, G. M.
AU - Santoro, R.
AU - Lepiane, P.
AU - Laurenzi, A.
AU - Colasanti, M.
AU - Meniconi, R. L.
AU - Colace, L.
AU - Antonini, M.
AU - Vennarecci, G.
PY - 2013/11
Y1 - 2013/11
N2 - Inferior vena cava (IVC) preservation during orthotopic liver transplantation (OLT) is known as the "piggyback" technique. The end-to-side anastomosis is constructed between the graft's IVC and recipient's hepatic veins using a Satinsky side clamp applied in a transverse position. To stabilize the large Satinsky clamp and preserve a sufficient vascular stump after hepatectomy and before graft implantation, we propose a technical innovation consisting of hanging the septa between the left and middle hepatic vein and between the middle and right hepatic vein using 2 tapes. This technique showed some advantages when performing the caval outflow anastomosis, representing a further technical refinement of the piggyback end-to-side technique for the implantation on the 3 hepatic veins. From November 2001 to September 2012, we performed 272 consecutive OLT at our institution with the piggyback technique using the hanging of the hepatic veins septa in all cases. In conclusion, the hanging of the 3 hepatic veins septa presented in this study represents a simple, safe and reproducible technique for the outflow anastomosis using the piggyback technique.
AB - Inferior vena cava (IVC) preservation during orthotopic liver transplantation (OLT) is known as the "piggyback" technique. The end-to-side anastomosis is constructed between the graft's IVC and recipient's hepatic veins using a Satinsky side clamp applied in a transverse position. To stabilize the large Satinsky clamp and preserve a sufficient vascular stump after hepatectomy and before graft implantation, we propose a technical innovation consisting of hanging the septa between the left and middle hepatic vein and between the middle and right hepatic vein using 2 tapes. This technique showed some advantages when performing the caval outflow anastomosis, representing a further technical refinement of the piggyback end-to-side technique for the implantation on the 3 hepatic veins. From November 2001 to September 2012, we performed 272 consecutive OLT at our institution with the piggyback technique using the hanging of the hepatic veins septa in all cases. In conclusion, the hanging of the 3 hepatic veins septa presented in this study represents a simple, safe and reproducible technique for the outflow anastomosis using the piggyback technique.
UR - http://www.scopus.com/inward/record.url?scp=84887060874&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84887060874&partnerID=8YFLogxK
U2 - 10.1016/j.transproceed.2013.07.063
DO - 10.1016/j.transproceed.2013.07.063
M3 - Article
C2 - 24182808
AN - SCOPUS:84887060874
VL - 45
SP - 3314
EP - 3315
JO - Transplantation Proceedings
JF - Transplantation Proceedings
SN - 0041-1345
IS - 9
ER -