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Khirurgii

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Year 2016 Vol. 24 No 2

TRANSPLANTOLOGY

P.A. ABBASOV, S. YILMAZ

TYPES OF HEPATIC CAVAL ANASTOMOSIS IN LIVER TRANSPLANTATION

Azerbaijan Medical University, Baku,
The Republic of Azerbaijan
Inonu University, Medical Center centre named after T.Ozal, Malatya,
The Turkish Republic

Objectives. To study the results of implementation of various types of hepatic caval anastomosis in the liver transplantation from a living donor.
Methods. The treatment results of patients (n=598) who underwent living donor liver had been analyzed. Patients were divided into 3 groups: the 1st group included patients (n=106) who underwent to the performance of anastomosis between donor hepatic vein and inferior vena cava (IVC).
The 2nd group included patients (n=295), who underwent IVC anastomosis using the autovenous graft. The 3rd group included patients (n=197) subjected to the anastomosis performance with IVC by the vascular grafts implementation.
Results. The right-sided hepatectomy (n=95), and left-sided hepatectomy (n=11) were performed in the 1st group. The right-sided hepatectomy (n=264) and the left-sided hepatectomy (n=31) was carried out in the 2nd group. In patients of the 3rd group the right-sided hepatectomy (n=180) and the left-sided hepatectomy (n=17) were done.
In the 1st group the mean time of the anastomosis formation was 41,6±7,5 min, in the 2nd group – 29,7±8,5 min, and in the 3rd group – 30,1±8,3 min (М±σ). In 9 recipients (8,5%) of the 1st group and in 19 patients (9,6%) of the 3rd group the hepatic caval anastomosis was reperformed due to disturbances in hepatic venous blood flow.
In a month reoperations caused by disorders of the venous system were performed in 2 (1,9%) patients of the 1st group, in 2(0,7%) patients of the 2nd group and in 9 (4,6%) patients of the 3rd group.
Conclusion. In liver transplantation with implementation of autovenous graft (the 2nd group) a shorter warm ischemia time, less incidence of venous thrombosis, far fewer imposition of repeated anastomoses that distinguishes this group from the 3rd one (with the vascular prostheses using) were revealed.

Keywords: liver transplantation, donor autovein, recipient, inferior vena cava, hepatic-caval anastomosis, venous thrombosis, warm ischemia time
p. 146-150 of the original issue
References
  1. Salah T, Sultan AM, Fathy OM, Elshobary MM, Elghawalby NA, Sultan A, et al. Outcome of right hepatectomy for living liver donors: a single Egyptian center experience. J Gastrointest Surg. 2012 Jun;16(6):1181-8. doi: 10.1007/s11605-012-1851-4.
  2. Bhangui P, Lim C, Salloum C, Andreani P, Sebbagh M, Hoti E, et al. Caval inflow to the graft for liver transplantation in patients with diffuse portal vein thrombosis: a 12-year experience. Ann Surg. 2011 Dec;254(6):1008-16. doi: 10.1097/SLA.0b013e31822d7894.
  3. Kasahara M, Takada Y, Fujimoto Y, Ogura Y, Ogawa K, Uryuhara K, et al. Impact of right lobe with middle hepatic vein graft in living-donor liver transplantation. Am J Transplant. 2005 Jun;5(6):1339-46.
  4. Makuuchi M, Sugawara Y. Technical progress in living donor liver transplantation for adults. HPB (Oxford). 2004;6(2):95-8. doi: 10.1080/13651820410032914.
  5. Mali VP, Aw M, Quak SH, Loh DL, Prabhakaran K. Vascular complications in pediatric liver transplantation; single-center experience from Singapore. Transplant Proc. 2012 Jun;44(5):1373-78. doi: 10.1016/j.transproceed.2012.01.129.
  6. Got'e SV. Transplantatsiia pecheni: sovremennoe sostoianie problemy [Liver transplantation: a modern state of the problem]. Al'm In-ta Khirurgii im AV Vishnevskogo. 2008;3(3):9-17.
  7. Steinbrück K, Enne M, Fernandes R, Martinho JM, Balbi E, Agoglia L, et al. Vascular complications after living donor liver transplantation: a Brazilian, single-center experience. Transplant Proc. 2011 Jan-Feb;43(1):196-8. doi: 10.1016/j.transproceed.2010.12.007.
  8. Abbara S. Diagnostic Imaging: Cardiovascular. 2-nd. Wolters Kluwer; 2013. 1000 p.
Address for correspondence:
Republic of Azerbaijan
Baku, ul. Bakihanova d. 23,
Azerbaydzhanskiy meditsinskiy universitet,
kafedra khirurgicheskih bolezney,
tel. mob.: 99450-341-18-22,
e-mail: pabbasov82@rambler.ru,
Abbasov Parviz Ali oglyi
Information about the authors:
Abassov P.A. ogly. PhD, an assistant of the surgical diseases chair, Azerbaijan Medical University.
S. Yilmaz. MD, professor, Director of Medical Center named after T.Ozal, Inonu University.
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