The Use Of Right Hepatic Lobe In Living Donor Liver Transplantation

Enrique Moreno Gonzalez, MD, FACS(Hon); Carlos Jimenez, FACS; Felix Cambra, MD; Cristina Alegre, MD

Product Details
Product ID: ACS-5595
Year Produced: 2018
Length: 11 min.


Living related liver transplantation is shown. Clinical records from donor a recipient is demonstreated. The first step is donor operation. Disection of the biliary confluence, hepatic artery branches and portal vein is done. Limit between right and left lobes is found by selected oclusion of right and left branches at the hilium. Separation of both lobes was done by means of CUSA. Oclusion of right hepatic vein, portal vein segmental branches of the right common duct and right hepatic artery were done. Vasculo-biliary reconstruction done. A graft of internal jugular vein was used to drain the suprahepatic sagital vein of the graft. Second step: total hepatectomy on the recipient oclusion of hepatic artery, portal vein and suprahepatic vena Cava. Anastomosis of suprahepatic vena Cava donor-recipient, done. Porta-porta (Right portal vein of the graft and portal trunk of the recipient) was done (interrupted stitches, Prolene 7/0) Reperfusion was performed. End-to-end, right hepatic duct of the recipient and segmental right branches of the graft was done with T-Tube. Cholabgiography was done. Post-op MRI is included.