Three-Vein Piggyback Technique and Temporary Portosaphenous Shunt for Liver Retransplantation Following Caval Replacement.

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

https://www.ncbi.nlm.nih.gov/pubmed/32279417

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;: