AI Article Synopsis

  • In living-donor liver transplants, hepatic venous anomalies are common challenges that can complicate the surgical process.
  • Various techniques have been developed over time to ensure effective hepatic drainage, but there is still debate about the best approach.
  • A case study highlights a successful reconstruction of five hepatic venous structures using direct anastomosis and saphenous vein interposition, emphasizing the importance of careful pre-surgery planning and a tailored surgical strategy for each patient.

Article Abstract

In living-donor liver transplant, hepatic venous anomalies are not rare. Despite numerous techniques developed over the years, the best way of establishing a patent and durable hepatic drainage system remains controversial. We present a case where we successfully reconstructed 5 hepatic venous structures with a combination of direct anastomosis and saphenous vein interposition. Careful planning before surgery, and a customized approach for the patient on the back table, brought about successful results.

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