Piggy-back versus conventional technique in liver transplantation: Report of a randomized trial

E. Jovine, A. Mazziotti, G. L. Grazi, G. Ercolani, M. Masetti, M. Morganti, F. Pierangeli, B. Begliomini, P. G. Mazzetti, R. Rossi, R. Paladini, A. Cavallari

Research output: Contribution to journalArticle

Abstract

Liver transplantation with preservation of the recipient vena cava (the 'piggy-back' technique) has been proposed as an alternative to the traditional method. We performed a randomized study on 39 cirrhotic patients, 20 who underwent the piggy-back technique (group 1) and 19 the traditional method using venovenous bypass (group 2) to evaluate the feasibility and true advantages of the piggyback technique compared to the traditional method. Two patients were switched to the conventional technique due to the presence of a caudate lobe embracing the vena cava in one patient and a caval lesion in the other. Statistically significant differences between the two groups were only found for the warm ischemia time (48.5 ± 13 min for piggy-back vs 60 ± 12 min for the conventional method) and for renal failure (zero cases in group 1 vs four cases in group 2). We therefore believe that liver transplantation with the piggy-back technique can easily be performed in almost all cases, and that only a few, specific situations, such as a very enlarged caudate lobe, do not justify its routine use.

Original languageEnglish
Pages (from-to)109-112
Number of pages4
JournalTransplant International
Volume10
Issue number2
DOIs
Publication statusPublished - Mar 1997

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Keywords

  • Liver transplantation, technique
  • Piggy-back, liver transplantation

ASJC Scopus subject areas

  • Transplantation

Cite this

Jovine, E., Mazziotti, A., Grazi, G. L., Ercolani, G., Masetti, M., Morganti, M., Pierangeli, F., Begliomini, B., Mazzetti, P. G., Rossi, R., Paladini, R., & Cavallari, A. (1997). Piggy-back versus conventional technique in liver transplantation: Report of a randomized trial. Transplant International, 10(2), 109-112. https://doi.org/10.1007/PL00003824