Modified Liver Hanging Maneuver During Orthotopic Liver Transplantation With Inferior Vena Cava Preservation: Results After 120 Consecutive Applications

G. M. Ettorre, G. Vennarecci, R. Santoro, A. Boschetto, L. Miglioresi, V. Corazza, P. Mancini, R. Lorusso, D. Spoletini, M. Antonini, G. Tacconi, E. Santoro

Research output: Contribution to journalArticlepeer-review

Abstract

The outflow venovenous anastomosis represent a crucial aspect during orthotopic liver transplantation (OLT) with inferior vena cava (IVC) preservation. The modified Belghiti liver hanging maneuver applied to the last phase of hepatectomy, lifting the liver, provides a better exposure of the suprahepatic region and allows easier orthogonal clamping of the three suprahepatic veins with a minimal portion of IVC occlusion. The outflow anastomosis constructed with a common cloacae of the three native suprahepatic veins is associated with a lower incidence of graft related venous outflow complications. The procedure planned in 120 consecutive OLT was achieved in 118 (99%). The outflow anastomosis was constructed on the common cloaca of the three hepatic veins in 111/120 cases (92.5%). No major complications were observed (bleeding during tunnel creation, graft outflow dysfunction, etc) except in one patient with acute Budd-Chiari, who successfully underwent retransplantation.

Original languageEnglish
Pages (from-to)1881-1882
Number of pages2
JournalTransplantation Proceedings
Volume39
Issue number6
DOIs
Publication statusPublished - Jul 2007

ASJC Scopus subject areas

  • Surgery
  • Transplantation

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