Obstructing spontaneous major shunt vessels is mandatory to keep adequate portal inflow in living-donor liver transplantation

Transplantation

Volumn 95, Issue 10, 2013, Pages 1270-1277

  Ikegami, Toru ^a   Shirabe, Ken ^a   Nakagawara, Hidekazu ^a   Yoshizumi, Tomoharu ^a   Toshima, Takeo ^a   Soejima, Yuji ^a   Uchiyama, Hideaki ^a   Yamashita, Yo Ichi ^a   Harimoto, Norifumi ^a   Maehara, Yoshihiko ^a  

^a KYUSHU UNIVERSITY   (Japan)

Author keywords

Living donor liver transplantation; Portal vein; Shunt vessels; Splenectomy

Indexed keywords

ACUTE GRAFT REJECTION; ADULT; ARTICLE; CHILD PUGH SCORE; CONTROLLED STUDY; DISEASE SEVERITY; FEMALE; GASTROESOPHAGEAL SHUNT; GRAFT DYSFUNCTION; GRAFT SURVIVAL; HEPATITIS C; HUMAN; LAPAROTOMY; LIVER BLOOD FLOW; LIVER CIRRHOSIS; LIVER TRANSPLANTATION; LIVING DONOR; MAJOR CLINICAL STUDY; MALE; MESOCAVAL SHUNT; PARAUMBILICAL SHUNT; PORTAL VEIN BLOOD FLOW; PORTAL VEIN BLOOD PRESSURE; PORTAL VEIN OBSTRUCTION; PORTAL VEIN THROMBOSIS; PORTOSYSTEMIC ANASTOMOSIS; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SPLENECTOMY; SPLENORENAL SHUNT; VEIN LIGATION;

ADULT; AGED; GRAFT SURVIVAL; HUMANS; LIVER TRANSPLANTATION; LIVING DONORS; MIDDLE AGED; PORTAL VEIN; PORTASYSTEMIC SHUNT, SURGICAL; REGIONAL BLOOD FLOW; RETROSPECTIVE STUDIES;

EID: 84878536278     PISSN: 00411337     EISSN: None     Source Type: Journal    
DOI: 10.1097/TP.0b013e318288cadc     Document Type: Article

References (32)

1. Collini FJ, Brener B. Portal hypertension. Surg Gynecol Obstet 1990; 170: 177.
2. Ro?ssle M, Siegerstetter V, Huber M, et al. The first decade of the transjugular intrahepatic portosystemic shunt (TIPS): state of the art. Liver 1998; 18: 73.
3. CosenzaCA,Hoffman AL, FriedmanML, et al. Transjugular intrahepatic portosystemic shunt: efficacy for the treatment of portal hypertension and impact on liver transplantation. Am Surg 1996; 62: 835.
4. Narahara Y, Kanazawa H, Kawamata H, et al. A randomized clinical trial comparing transjugular intrahepatic portosystemic shunt with endoscopic sclerotherapy in the long-term management of patients with cirrhosis after recent variceal hemorrhage. Hepatol Res 2001; 21: 189.
5. Tomikawa M, Hashizume M, Okita K, et al. Endoscopic injection sclerotherapy in the management of 2105 patients with esophageal varices. Surgery 2002; 131: S171.
6. Yanaga K, Tzakis AG, Shimada M, et al. Reversal of hypersplenism following orthotopic liver transplantation. Ann Surg 1989; 210: 180.
7. Hadengue A, Lebrec D, Moreau R, et al. Persistence of systemic and splanchnic hyperkinetic circulation in liver transplant patients. Hepatology 1993; 17: 175.
8. Piscaglia F, Zironi G, Gaiani S, et al. Systemic and splanchnic hemodynamic changes after liver transplantation for cirrhosis: a long-term prospective study. Hepatology 1999; 30: 58.
9. Jiang SM, Zhang QS, Zhou GW, et al. Differences in portal hemodynamics between whole liver transplantation and living donor liver transplantation. Liver Transpl 2010; 16: 1236.
10. Jang YJ, Kim KW, Jeong WK, et al. Influence of preoperative portal hypertension and graft size on portal blood flow velocity in recipient after living donor liver transplantation with right-lobe graft. AJR Am J Roentgenol 2010; 194: W165.
11. Sugimoto H, Kato K, Hirota M, et al. Serial measurement of Doppler hepatic hemodynamic parameters for the diagnosis of acute rejection after live donor liver transplantation. Liver Transpl 2009; 15: 1119.
12. Nakanishi S, Shiraki K, Yamamoto K, et al. Early graft hemodynamics in living related liver transplantation evaluated by Doppler ultrasonography. Int J Mol Med 2004; 14: 265.
13. Kita Y, Harihara Y, Sano K, et al. Reversible hepatofugal portal flow after liver transplantation using a small-for-size graft from a living donor. Transpl Int 2001; 14: 217.
14. Sekido H, Matsuo K, Takeda K, et al. Severe fatty change of the graft liver caused by a portosystemic shunt of mesenteric varices. Transpl Int 2002; 15: 259.
15. Moon DB, Lee SG, Ahn C, et al. Application of intraoperative cineportogram to detect spontaneous portosystemic collaterals missed by intraoperative Doppler exam in adult living donor liver transplantation. Liver Transpl 2007; 13: 1279.
16. Troisi R, Ricciardi S, Smeets P, et al. Effects of hemi-portocaval shunts for inflow modulation on the outcome of small-for-size grafts in living donor liver transplantation. Am J Transplant 2005; 5: 1397.
17. Yamada T, Tanaka K, Uryuhara K, et al. Selective hemi-portocaval shunt based on portal vein pressure for small-for-size graft in adult living donor liver transplantation. Am J Transplant 2008; 8: 847.
18. Shimada M, Ijichi H, Yonemura Y, et al. The impact of splenectomy or splenic artery ligation on the outcome of a living donor adult liver transplantation using a left lobe graft. Hepatogastroenterology 2004; 51: 625.
19. Ikegami T, Toshima T, Takeishi K, et al. Bloodless splenectomy during liver transplantation for terminal liver diseases with portal hypertension. J Am Coll Surg 2009; 208: e1.
20. Ikegami T, Soejima Y, Taketomi A, et al. Living donor liver transplantation with extra-small graft: inflow modulation using splenectomy and temporary portocaval shunt. Hepatogastroenterology 2008; 55: 670.
21. Yabe S, Egawa H, Inomata Y, et al. Auxiliary partial orthotopic liver transplantation from living donors: significance of portal blood flow. Transplantation 1998; 66: 484.
22. Ikegami T, Shiotani S, Ninomiya M, et al. Auxiliary partial orthotopic liver transplantation from living donors. Surgery 2002; 131: S205.
23. Ikegami T, Shirabe K, Yoshizumi T, et al. En bloc stapling division of the gastroesophageal vessels controlling portal hemodynamic status in living donor liver transplantation. J Am Coll Surg 2012; 214: e53.
24. Lee SG, Moon DB, Ahn CS, et al. Ligation of left renal vein for large spontaneous splenorenal shunt to prevent portal flow steal in adult living donor liver transplantation. Transpl Int 2007; 20: 45.
25. Mizuno S,Murata Y, Kuriyama N, et al. Living donor liver transplantation for the patients with portal vein thrombosis: use of an interpositional venous graft passed posteriorly to the pancreatic parenchyma without using jump graft. Transplant Proc 2012; 44: 356.
26. Marubashi S, Dono K, Nagano H, et al. Living-donor liver transplantation with renoportal anastomosis for patients with large spontaneous splenorenal shunts. Transplantation 2005; 80: 1671.
27. Yoshiya S, Shirabe K, Kimura K, et al. The causes, risk factors, and outcomes of early relaparotomy after living-donor liver transplantation. Transplantation 2012; 94: 947.
28. Ikegami T, Shimada M, Imura S, et al. Current concept of small-for-size grafts in living donor liver transplantation. Surg Today 2008; 38: 971.
29. Ikegami T, Shirabe K, Yoshizumi T, et al. Primary graft dysfunction after living donor liver transplantation is characterized by delayed functional hyperbilirubinemia. Am J Transplant 2012; 12: 1886.
30. Soejima Y, Shirabe K, Taketomi A, et al. Left lobe living donor liver transplantation in adults. Am J Transplant 2012; 12: 1877.
31. Taketomi A, Morita K, Toshima T, et al. Living donor hepatectomies with procedures to prevent biliary complications. J Am Coll Surg 2010; 211: 456.
32. Molmenti EP, Roodhouse TW, Molmenti H, et al. Thrombendvenectomy for organized portal vein thrombosis at the time of liver transplantation. Ann Surg 2002; 235: 292.