A new technique of hepatic vein reconstruction in living related liver transplantation

Objective: To attempt to reconstruct the hepatic vein safely and easily in living related liver transplantation (LRLT). Design: Retrospective case series. Subjects: Four patients over 15 years of age underwent LRLT. Intervention: A surgical technique of hepatic vein anastomosis, using the c ommon anastomotic orifice of the middle and left hepatic veins of a left lo be graft and the right hepatic vein of the recipient. After reperfusion, th e graft is immobilized in a position decided upon using color Doppler ultra sonography to ensure no out-flow block. Results: The graft is lowered below the right diaphragm and rotated 90 degr ees, This condition provides good visibility; enabling an accurate anastomo sis, Four patients developed no complications included with out-flow block and hemorrhage, Conclusions: This technique is safe and easy for reconstruction of the hepa tic vein in LRLT.