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Inferior Vena Cava Reconstruction in Liver Transplantation

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Book cover Surgery of the Inferior Vena Cava

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Abstract

Liver transplantation has advanced considerably over the last five decades and is now a well-established lifesaving operation for patients with end-stage liver disease. The development and expansion of liver transplantation has also advanced the field of liver surgery as a whole, evolving complex methods of hepatic resection and vascular reconstruction. Surgical techniques for reconstruction of the inferior vena cava include conventional and piggyback technique, piggyback variations such as end-to-side and side-to-side cavocavostomy, and reverse piggyback. Venovenous bypass and portocaval shunting can be utilized during the reconstruction as appropriate. Particular vena cava reconstruction is required in domino transplantation, autotransplantation, Budd-Chiari syndrome, and split-liver transplantation. Special techniques have been developed to address venous outflow obstruction as well as to utilize the vena cava as inflow for the transplanted liver. Surgery of the inferior vena cava as it pertains to liver transplantation is reviewed in the following chapter.

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Author information

Authors and Affiliations

  1. Cleveland Clinic, Cleveland, OH, USA

    Melissa J. Watson MD & Andreas Tzakis MD, PhD

  2. DTCA Hygeia Hospital, Athens, Greece

    Nikolaos Pararas MD, PhD

Authors
  1. Melissa J. Watson MD
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  2. Nikolaos Pararas MD, PhD
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  3. Andreas Tzakis MD, PhD
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Corresponding author

Correspondence to Andreas Tzakis MD, PhD .

Editor information

Editors and Affiliations

  1. Service de chirurgie hépato-biliaire, pancréatique et transplantation hépatique, Hôpital Henri-Mondor, Créteil, France

    Daniel Azoulay

  2. Service de chirurgie hépato-biliaire, pancréatique et transplantation hépatique, Hôpital Henri-Mondor, Créteil, France

    Chetana Lim

  3. Service de chirurgie hépato-biliaire, pancréatique et transplantation hépatique, Hôpital Henri-Mondor, Créteil, France

    Chady Salloum

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Watson, M.J., Pararas, N., Tzakis, A. (2017). Inferior Vena Cava Reconstruction in Liver Transplantation. In: Azoulay, D., Lim, C., Salloum, C. (eds) Surgery of the Inferior Vena Cava. Springer, Cham. https://doi.org/10.1007/978-3-319-25565-1_11

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  • DOI: https://doi.org/10.1007/978-3-319-25565-1_11

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  • Online ISBN: 978-3-319-25565-1

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