The technical aspects of orthotopic liver transplantation (LT) using the piggyback
technique have been standardized. During the recipient hepatectomy, each element of
the hepatic pedicle (i.e., hepatic artery, bile duct, and portal vein) is dissected,
ligated and transected; the retrohepatic inferior vena cava (IVC) is then dissected,
and the native liver is progressively separated from the IVC. Recipient hepatectomy
is achieved with minimal mobilization of the IVC. During implantation of the graft,
the continuity of each anastomosis is restored.
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References
- Modified technique of total hepatectomy in polycystic liver disease with caval flow preservation: the exposure left lateral sectionectomy.Transplantation. 2019; 103: 1414-1417
- Proposal of a new comprehensive notation for hepatectomy: the “new world” terminology.Ann Surg. 2021; 274: 1-3
- “The kissing sign” of liver and spleen.Abdom Radiol (NY). 2020; 45: 3800-3808
Article info
Publication history
Published online: January 19, 2023
Accepted:
January 16,
2023
Received:
December 13,
2022
Identification
Copyright
© 2023 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.
