Affordable Access

Publisher Website

Liver Transplantation With Piggyback Anastomosis Using a Linear Stapler: A Case Report

Authors
Journal
Transplantation Proceedings
0041-1345
Publisher
Elsevier
Volume
45
Issue
3
Identifiers
DOI: 10.1016/j.transproceed.2013.02.098
Disciplines
  • Medicine

Abstract

Abstract The so-called piggyback technique of liver transplantation (PB-LT) preserves the recipient's caval vein, shortening the warm ischemic time. It can be reduced even further by using a linear stapler for the cavocaval anastomosis. Herein, we have presented a case of a patient undergoing a side-to-side, whole-organ PB-LT for cryptogenic cirrhosis. Upper and lower orifices of the donor caval vein were closed at the back table using a running 5-0 polypropylene suture. Three stay sutures were then placed on caudal parts of both the recipient and donor caval with a 5-mm venotomies. The endoscopic linear stapler was placed upward through the orifices and fired. A second stapler was placed more cranially and fired resulting in a 8–9 cm long cavocavostomy. Some loose clips were flushed away from the caval lumen. The caval anastomosis was performed within 4 minutes; the time needed to close the caval vein stapler insertion orifices (4-0 polypropylene running suture) before reperfusion was 1 minute. All other anastomoses were performed as typically sutured. The presented technique enables one to reduce the warm ischemic time, which can be of particular importance with marginal grafts.

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

Salvage with a Secondary Infrahepatic Cavocavostom...

on Case reports in transplantatio... 2014

[Piggyback allogenic orthotopic liver transplantat...

on Hunan yi ke da xue xue bao = H... 1999

Domino liver transplantation with double piggyback...

on Transplantation Proceedings November 2006

Domino Liver Transplantation With Double Piggyback...

on Transplantation Proceedings Jan 01, 2006
More articles like this..