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Temporary portocaval anastomosis with preservation of caval flow during orthotopic liver transplantation.
Am J Surg. 1995 Feb; 169(2):277-9.AJ

Abstract

BACKGROUND

A novel technique of orthotopic liver transplantation was developed whereby both vena caval and portal venous blood flows are preserved during the entire procedure.

PATIENTS AND METHODS

This method of liver transplantation was successfully performed in 51 consecutive patients and included a temporary portocaval shunt, a total hepatic resection with vena caval preservation, and an end-to-side cavocaval anastomosis.

RESULTS

Preservation of vena cava and portocaval anastomosis were feasible in 51 patients (100%), including 34 patients with cirrhosis and 2 patients undergoing elective retransplantation. Both caval and portal flows were preserved during the entire procedure in 48 patients (94%). No venovenous bypass was required. Four deaths (7.8%) occurred postoperatively, all of them unrelated to the surgical procedure.

CONCLUSION

We believe adoption of this orthotopic liver transplantation technique will obviate the need for venovenous bypass.

Authors+Show Affiliations

Belghiti J
Department of Digestive Surgery, Hôpital Beaujon, University of Paris VII, Clichy-Paris, France.
Noun R
No affiliation info available
Sauvanet A
No affiliation info available

MeSH

HumansLiver CirculationLiver CirrhosisLiver FailureLiver TransplantationPortacaval Shunt, SurgicalRecurrence

Pub Type(s)

Journal Article

Language

eng

PubMed ID

7840394

Citation

Belghiti, J, et al. "Temporary Portocaval Anastomosis With Preservation of Caval Flow During Orthotopic Liver Transplantation." American Journal of Surgery, vol. 169, no. 2, 1995, pp. 277-9.
Belghiti J, Noun R, Sauvanet A. Temporary portocaval anastomosis with preservation of caval flow during orthotopic liver transplantation. Am J Surg. 1995;169(2):277-9.
Belghiti, J., Noun, R., & Sauvanet, A. (1995). Temporary portocaval anastomosis with preservation of caval flow during orthotopic liver transplantation. American Journal of Surgery, 169(2), 277-9.
Belghiti J, Noun R, Sauvanet A. Temporary Portocaval Anastomosis With Preservation of Caval Flow During Orthotopic Liver Transplantation. Am J Surg. 1995;169(2):277-9. PubMed PMID: 7840394.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Temporary portocaval anastomosis with preservation of caval flow during orthotopic liver transplantation. AU - Belghiti,J, AU - Noun,R, AU - Sauvanet,A, PY - 1995/2/1/pubmed PY - 1995/2/1/medline PY - 1995/2/1/entrez SP - 277 EP - 9 JF - American journal of surgery JO - Am J Surg VL - 169 IS - 2 N2 - BACKGROUND: A novel technique of orthotopic liver transplantation was developed whereby both vena caval and portal venous blood flows are preserved during the entire procedure. PATIENTS AND METHODS: This method of liver transplantation was successfully performed in 51 consecutive patients and included a temporary portocaval shunt, a total hepatic resection with vena caval preservation, and an end-to-side cavocaval anastomosis. RESULTS: Preservation of vena cava and portocaval anastomosis were feasible in 51 patients (100%), including 34 patients with cirrhosis and 2 patients undergoing elective retransplantation. Both caval and portal flows were preserved during the entire procedure in 48 patients (94%). No venovenous bypass was required. Four deaths (7.8%) occurred postoperatively, all of them unrelated to the surgical procedure. CONCLUSION: We believe adoption of this orthotopic liver transplantation technique will obviate the need for venovenous bypass. SN - 0002-9610 UR - https://www.unboundmedicine.com/medline/citation/7840394/Temporary_portocaval_anastomosis_with_preservation_of_caval_flow_during_orthotopic_liver_transplantation_ DB - PRIME DP - Unbound Medicine ER -