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Pure Laparoscopic Donor Right Hepatectomy for Rare Non-Bifurcation Portal Vein Variation Donor and Reconstruction Technique.
Lapisatepun, Worakitti; Junrungsee, Sunhawit; Lapisatepun, Warangkana.
Afiliación
  • Lapisatepun W; Division of Hepatobiliary and pancreatic surgery, Department of surgery, Faculty of medicine, Chiang Mai University, 110 Intavarorod road, T.Sriphum, A.Muang, Chiang Mai, 50200, Thailand. worakitti.l@cmu.ac.th.
  • Junrungsee S; Clinical Surgical Research Center, Chiang Mai University, Chiang Mai, Thailand. worakitti.l@cmu.ac.th.
  • Lapisatepun W; Division of Hepatobiliary and pancreatic surgery, Department of surgery, Faculty of medicine, Chiang Mai University, 110 Intavarorod road, T.Sriphum, A.Muang, Chiang Mai, 50200, Thailand.
J Gastrointest Surg ; 27(9): 2011-2013, 2023 09.
Article en En | MEDLINE | ID: mdl-37340106
BACKGROUND: Pure laparoscopic donor right hepatectomy (PLDRH) is a technical demanding procedure, and many centers have strict selection criteria especially an anatomical variation. Portal vein variation is considered as a contra-indication for this procedure in most centers. We presented a case of PLDRH in donor who had rare non-bifurcation portal vain variation. The donor was 45-year-old female. Pre-operative imaging showed a rare non-bifurcation portal vain variation. The procedure was following the routine step of laparoscopic donor right hepatectomy except the hilar dissection phase. All portal branches should not be dissected before division of bile duct to prevent vascular injury. Regarding bench surgery, all portal branches were reconstructed together. Finally, the explanted portal vein bifurcation was used to reconstruct all portal vein branches as a single orifice. The liver graft was successfully transplanted. The graft was well functioned, and all portal branches were patented. CONCLUSION: This technique facilitated identification and safely divided all portal branches. PLDRH in donor with this rare portal vein variation can be performed safely by a highly experienced team and good reconstruction technique. Pure laparoscopic donor right hepatectomy (PLDRH) is a technical demanding procedure, and many centers have strict selection criteria especially an anatomical variation. Portal vein variation is considered as a contra-indication for this procedure in most centers. Lapisatepun and colleagues report PLDRH in rare non-bifurcation portal vein variation, and reconstruction technique was scanty reported.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vena Porta / Laparoscopía Tipo de estudio: Prognostic_studies Límite: Female / Humans / Middle aged Idioma: En Revista: J Gastrointest Surg Asunto de la revista: GASTROENTEROLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Tailandia Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vena Porta / Laparoscopía Tipo de estudio: Prognostic_studies Límite: Female / Humans / Middle aged Idioma: En Revista: J Gastrointest Surg Asunto de la revista: GASTROENTEROLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Tailandia Pais de publicación: Estados Unidos