ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Advanced Search

Long Term Patency of Reconstructed Middle Hepatic Vein Extension Conduit Using Autologous Portal Vein Segment Derived from Explanted Liver

S. Kapoor,1 S. Kalgaonkar,2 B. Nath,1 V. Varma,1 S. Maheshwari,2 A. Raut,2 V. Kumaran.1

1Liver Transplantation & HPB Surgery, Kokilaben Dhirubhai Ambani Hospital & Medical Research Institute, Mumbai, Maharashtra, India
2Radiodiagnosis, Kokilaben Dhirubhai Ambani Hospital& Medical Research Institute, Mumbai, Maharashtra, India.

Meeting: 2015 American Transplant Congress

Abstract number: B153

Keywords: Liver grafts, Liver transplantation, Living-related liver donors

Session Information

Date: Sunday, May 3, 2015

Session Name: Poster Session B: Liver: Living Donors

Session Time: 5:30pm-6:30pm

 Presentation Time: 5:30pm-6:30pm

Location: Exhibit Hall E

Related Abstracts
  • Technical Aspects of Reconstruction of Middle Hepatic Vein and Multiple Inferior Right Hepatic Veins Using Dual Artificial Vascular Grafts in Right Lobe Living Donor Liver Transplantation: “V-Plasty” Technique for Common Outflow Reconstruction Vs Second IVC Anastomosis
  • Analysis of Portal Vein Reconstruction for LDLT Recipients with Portal Vein Thrombus

Background:Differing views persist on the need for V5&8 venous outflow reconstruction in right lobe living donor liver transplantationt(LDLT). Many centers in Asia and Europe believe in preserving Middle hepatic vein (MHV) trunk and using a conduit to IVC / reconstruct segments 5 & 8 vein using cryopreserved /PTFE grafts. We follow policy of partial /subtotal MHV retrieval with graft that is extended with a conduit of autologous portal vein from the explant liver.Aims:Analyse long term patency of MHV outflow in Right lobe grafts using autologous portal vein segment.Methods: Between March 2013 to November 2014, we did 62 LDLT. 28 were done before Nov 2014((24 extended Right lobe, 1 Right lobe, 3 left lobe /left lateral graft). In 24, MHV was extended on back table using portal vein segment harvested from the explanted liver.Technique. During recipient hepatectomy 2 clamps are placed on the portal vein first at the upper border of duodenum and the proximal clamp just beyond the confluence of right and left portal vein. After division the stump towards the liver is closed with 5'0 prolene. Portal vein with confluence is dissected on the back table and up to 2inch segment can be retrieved. MHV reconstruction involves anastomosing a segment of portal vein (2-3 cm) to the end of MHV, common MHV +V8 opening or a Y graft to MHV + V8 The other end is anastomosed to a new venotomy on the IVC during implantation. Results: Four (4/24) recipients died in the first month. Of the remaining 20, follow-up USG / CT > 12 months were available for 14 patients. One patient had a normal USG at 9 mths, 2 died at 6 and 9 mths due to sepsis and 3 patients are following at a separate center. All 15 Patients with available records had patent MHV (100%) demonstrated (14 USG, 1 CT) beyond 9 months and all 14 (100%)had MHV patent after 12 mths.Conclusion: Autologous portal vein segment retrieved from the explant liver provides excellent long term patency for MHV extension in extended right lobe graft. It avoids groin incision(saphenous graft), immunological or cryopreservation damage with non autologous / cryopreserved vessel and higher thrombosis rates reported with recanalised umbilical vein and PTFE grafts.

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Kapoor S, Kalgaonkar S, Nath B, Varma V, Maheshwari S, Raut A, Kumaran V. Long Term Patency of Reconstructed Middle Hepatic Vein Extension Conduit Using Autologous Portal Vein Segment Derived from Explanted Liver [abstract]. Am J Transplant. 2015; 15 (suppl 3). https://atcmeetingabstracts.com/abstract/long-term-patency-of-reconstructed-middle-hepatic-vein-extension-conduit-using-autologous-portal-vein-segment-derived-from-explanted-liver/. Accessed January 25, 2021.

« Back to 2015 American Transplant Congress

Most Viewed Abstracts

  • This Week
  • This Month
  • All Time
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Penis Transplantation: First U.S. Experience.
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Live Related Kidney Transplant Experience in Abuja, Nigeria – First Eight Cases Ever.
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Penis Transplantation: First U.S. Experience.
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Live Related Kidney Transplant Experience in Abuja, Nigeria – First Eight Cases Ever.
  • Penis Transplantation: First U.S. Experience.
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Evidence of a Clinically Significant Drug-Drug Interaction between Cannabidiol and Tacrolimus: A Case Report
  • Kidney Dialysis after Heart Transplantation: The Short and Long Term Outcomes

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2021 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.