Three-Vein Piggyback Technique and Temporary Portosaphenous Shunt for Liver Retransplantation Following Caval Replacement.
Fiche publication
Date publication
avril 2020
Journal
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Auteurs
Membres identifiés du Cancéropôle Est :
Pr BACHELLIER Philippe
Tous les auteurs :
Addeo P, Schaaf C, Lebas B, Julliard O, Faitot F, Besch C, Serfaty L, Bachellier P
Lien Pubmed
Résumé
The technique of liver transplantation (LT), as originally described, entailed complete resection of the retrohepatic inferior vena cava (IVC) and replacement by the graft IVC. Intraoperatively, the use of veno-venous bypass (VVB) guaranteed patient hemodynamic stability during IVC and portal cross-clamping. The piggyback (PB) technique, which preserved the recipient IVC, drastically reduced the rate of IVC replacement and the use of VVB while ensuring hemodynamic stability.
Mots clés
liver transplantation, piggyback, portal hypertension, portocaval shunt, retransplantation
Référence
Liver Transpl.. 2020 Apr 12;: