The American Journal of Surgery
Volume 199, Issue 5 , Pages 708-715 , May 2010

Donor/recipient algorithm for management of the middle hepatic vein in right graft live donor liver transplantation

  • A. Radtke, M.D.

      Affiliations

    • Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany
    • Department of General and Abdominal Surgery, Johannes Gutenberg University Hospital, Mainz, Germany
    • Corresponding Author InformationCorresponding author: Tel.: 49-6131-172893; fax: 49-6131-176630
    • ,
  • G. Sgourakis, M.D.

      Affiliations

    • Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany
    • Department of General and Abdominal Surgery, Johannes Gutenberg University Hospital, Mainz, Germany
    • ,
  • G.C. Sotiropoulos, M.D., B.A.

      Affiliations

    • Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany
    • Department of General and Abdominal Surgery, Johannes Gutenberg University Hospital, Mainz, Germany
    • ,
  • S. Beckebaum, M.D.

      Affiliations

    • Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany
    • ,
  • E.P. Molmenti, M.D., M.B.Ch.B.

      Affiliations

    • Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany
    • ,
  • F.H. Saner, M.D.

      Affiliations

    • Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany
    • ,
  • T. Schroeder, M.D.

      Affiliations

    • Department of Diagnostic and Interventional Radiology, University Hospital Essen, Essen, Germany
    • ,
  • S. Nadalin, M.D.

      Affiliations

    • Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany
    • ,
  • A. Schenk, Ph.D.

      Affiliations

    • MeVis Center for Medical Diagnostic Systems and Visualization, University of Bremen, Bremen, Germany
    • ,
  • H. Lang, M.D., F.A.C.S.

      Affiliations

    • Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany
    • Department of General and Abdominal Surgery, Johannes Gutenberg University Hospital, Mainz, Germany
    • ,
  • M. Malagó, M.D.

      Affiliations

    • Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany
    • ,
  • C.E. Broelsch, M.D., F.A.C.S.

      Affiliations

    • Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany

Received 1 February 2009 ,Revised 6 March 2009

References 

  1. Marcos A. Right lobe living donor liver transplantation: a review. Liver Transpl. 2000;6:3–20
  2. Tanaka K, Yamada T. Living donor liver transplantation in Japan and Kyoto University: what can we learn?. J Hepatol. 2005;42:25–28
  3. Fujita S, Kim ID, Uryuhara K, et al. Hepatic grafts from live donors: donor morbidity for 470 cases of live donation. Transpl Int. 2000;13:333–339
  4. Asakuma M, Fujimoto Y, Bourquain H, et al. Graft selection algorithm based on congestion volume for adult living donor liver transplantation. Am J Transpl. 2007;7:1788–1796
  5. Lee S, Park K, Hwang S, et al. Congestion of right liver graft in living donor liver transplantation. Transplantation. 2001;71:812–817
  6. Kubota T, Togo S, Sekido H, et al. Indications for hepatic vein reconstruction in living donor liver transplantation of right liver grafts. Transplant Proc. 2003;36:2263–2266
  7. Malago M, Testa G, Frilling A, et al. Right living donor liver transplantation: an option for adult patients: single institution experience with 74 patients. Ann Surg. 2003;238:853–862
  8. de Villa VH, Chen CL, Chen YS, et al. Right lobe living donor liver transplantation—addressing the middle hepatic vein controversy. Ann Surg. 2003;238:275–282
  9. Neumann JO, Thorn M, Fischer L, et al. Branching patterns and drainage territories of the middle hepatic vein in computer-simulated right living-donor hepatectomies. Am J Transpl. 2006;6:1407–1415
  10. Molmenti EP, Radtke A, Sotiropoulos GC. Anatomy and physiology of the liver. Shackelford's surgery of the alimentary tract. 6th ed.. Philadelphia: Saunders Elsevier; 2007;
  11. Radtke A, Schroeder T, Molmenti EP, et al. The “territorial belonging” of the middle hepatic vein: a troublesome dilemma in adult live donor liver transplantation-anatomical evidence based on virtual 3-D CT-imaging reconstructions. Eur J Med Res. 2006;11:66–72
  12. Nakamura S, Tsuzuki T. Surgical anatomy of the hepatic veins and the inferior vena cava. Surg Gynecol Obstet. 1981;152:43–50
  13. Radtke A, Sotiropoulos GC, Nadalin S, et al. Preoperative volume prediction in adult living donor liver transplantation: how much can we rely on it?. Am J Transplant. 2007;7:672–679
  14. De Cecchis L, Hribernik M, Ravnik D. Anatomical variations in the pattern of the right hepatic vein: possibilities for type classification. J Anat. 2000;197:487–493
  15. Radtke A, Nadalin S, Sotiropoulos GC, et al. Computer-assisted operative planning in adult living donor liver transplantation: a new way to resolve the dilemma of the middle hepatic vein. World J Surg. 2007;31:175–185
  16. Coinaud C, Noguiera C. Les veins sus-hepatiques chez l'homme. Acta Anat. 1958;34:84–110
  17. Schroeder T, Radtke A, Debatin JF, et al. Contrast-enhanced multidetector-CT cholangiography after living donor liver transplantation. Hepatogastroenterology. 2007;54:1176–1180
  18. Selle D, Preim B, Schenk A. Analysis of vasculature for liver surgical planning. IEEE Trans Med Imaging. 2002;21:1344–1357
  19. Valentin-Gamazo C, Malagò M, Karliova M, et al. Experience after the evaluation of 700 potential donors for living donor liver transplantation in a single center. Liver Transpl. 2004;10:1087–1096
  20. Malago M, Molmenti EP, Paul A, et al. Hepatic venous outflow reconstruction in right live donor liver transplantation. Liver Transpl. 2005;11:364–365
  21. Kido M, Ku Y, Fukumoto T, et al. Significant role of middle hepatic vein in remnant liver regeneration of right-lobe living donors. Transplantation. 2003;75:1598–1600
  22. Kanazawa A, Hirohashi K, Tanaka H, et al. Usefulness of three-dimensional computed tomography in a living-donor extended right lobe liver transplantation. Liver Transpl. 2002;8:1076–1079
  23. Saito S, Yamanaka J, Miura K, et al. A novel 3D hepatectomy simulation based on liver circulation: application to liver resection and transplantation. Hepatology. 2005;41:1297–1304
  24. Radtke A, Sotiropoulos GC, Molmenti EP, et al. The influence of accessory right inferior hepatic veins on the venous drainage in right graft living donor liver transplantation. Hepatogastroenterology. 2006;53:479–483
  25. Miller CM, Gondolesi GE, Florman S. One hundred nine live donor liver transplants in adults and children; a single-center experience. Ann Surg. 2001;3:301–312
  26. Wu H, Yan LN, Li B, et al. Hepatic venous outflow reconstruction in right lobe graft without middle hepatic vein. Hepatol Res. 2007;37:1044–1051
  27. Sugawara Y, Makuuchi M, Akamatsu N, et al. Refinement of venous reconstruction using cryopreserved veins in right liver grafts. Liver Transpl. 2004;10:541–547
  28. Fan ST, de Villa VH, Kiuchi T. Right anterior sector drainage in right-lobe live-donor liver transplantation. Transplantation. 2003;75:S25–S27
  29. Lo CM, Fan ST, Liu CL, et al. Adult-to-adult living donor liver transplantation using extended right lobe grafts. Ann Surg. 1997;226:261–269
  30. Sano K, Makuuchi M, Miki K, et al. Evaluation of hepatic venous congestion: proposed indication criteria for hepatic vein reconstruction. Ann Surg. 2002;236:241–247
  31. Ito T, Kiuchi T, Yamamoto H, et al. Efficacy of anterior segment drainage reconstruction in right-lobe liver grafts from living donors. Transplantation. 2004;77:865–868

 This study was supported by grant 117/1-1:A2.2 from the German Society for Research.

PII: S0002-9610(09)00410-3

doi: 10.1016/j.amjsurg.2009.03.024

The American Journal of Surgery
Volume 199, Issue 5 , Pages 708-715 , May 2010

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