Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.14365/1472
Title: Living-Donor Liver Transplantation for Budd-Chiari Syndrome: Case Series
Authors: Karaca, Can
Yilmaz, C.
Ferecov, R.
Iakobadze, Z.
Kilic, K.
Caglayan, L.
Aydogdu, S.
Keywords: Inferior Vena-Cava
Surgical Techniques
Vein
Replacement
Experience
Management
Outcomes
Absence
Atrium
Graft
Publisher: Elsevier Science Inc
Abstract: Background. Venous reconstruction in living-donor liver transplantation for Budd-Chiari syndrome (BCS) has challenges because the grafts from living donors lack vena cava, and hepatic venous anastomosis must be performed on an already-thrombosed and/or stenosed inferior vena cava. Several techniques are described to overcome this problem, and we represent our experience with 22 patients. Methods. Medical recordings of 22 patients were retrospectively collected, and disease specific data as well as recordings about surgical technique were analyzed. Results. Creation of a wide, triangular de novo orifice was the main method used for venous drainage, which was used in 19 patients. The remaining 3 patients had totally thrombosed vena cava; thus, direct anastomosis to the supra-hepatic portion of the vena cava was used in 2 patients and an anastomosis to the right atrium was used in 1 patient. Conclusions. Venous reconstruction in BCS can be achieved without the use of patchplasty, and the inferior vena cava can be safely resected in selected patients. Living donor liver transplantation is a feasible option for the treatment of BCS, considering the scarcity of cavaderic donors.
URI: https://doi.org/10.1016/j.transproceed.2017.04.028
https://hdl.handle.net/20.500.14365/1472
ISSN: 0041-1345
1873-2623
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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