Skip to main content
SpringerLink
Log in

Hepatic Vascular Control in Liver Transplant and Application in Gastrointestinal Surgery

  • How I do it
  • Published:
Journal of Gastrointestinal Surgery

Abstract

Complete control of the hepatic vasculature is routine during liver transplantation and sometimes required in general surgical cases. Knowledge of approach and management to hepatic vasculature control can be lifesaving. This article offers our systematic approach to controlling hepatic vasculature, where these techniques can be applied in trauma, general surgical, and transplant settings.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Bland KL, Stoll DA, et al. Brief communication of the Residency Review Committee-Surgery (RRC-S) on residents’ surgical volume in general surgery. Am J Surg 2005; 190(3):345–50.

    Article  PubMed  Google Scholar 

  2. Jarnagin WR, Gonen M, Fong Y, et al. Improvement in perioperative outcome after hepatic resection: analysis of 1,803 consecutive cases over the past decade. Ann Surg 2002; 236:397–406.

    Article  PubMed Central  PubMed  Google Scholar 

  3. Smyrniotis V, Kostopanagiotou G, et al. The role of central venous pressure and type of vascular control in blood loss during major liver resections. Amer J Surg 2004 187(3);398–402.

    Article  PubMed  Google Scholar 

  4. Niemann CU, Feiner J, et al. Central Venous Pressure Monitoring During Living Donor Right Hepatectomy. Liver Transplantation 2007 13:266–271.

    Article  PubMed  Google Scholar 

  5. Lesurtel M, Lehmann K, Roguemont O, Clavien PA. Clamping techniques and protecting strategies in liver surgery. HPB 2009; 11(4): 290–295.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Morjane A, Dahmane R, et al. Anatomy and surgical relevance of the hepatocaval ligament. A study on cadaveric livers. Cells Tissues Organs 2008; 187(3):243–6

    Article  PubMed  Google Scholar 

  7. Facciuto ME, Babu S, Marvin M, et al. Intrapericardial control of the inferior vena cava from the abdominal cavity. J Hepatobiliary Pancreat Surg 2004; 11(4) 286–9.

    Article  PubMed  Google Scholar 

  8. Tsakis AG, Kirkegaard P, Pinna AD, et al. Liver transplantation with cavoportal hemitransposition in the presence of diffuse portal vein thrombosis. Transplantation. 1998;65(5):619–24.

    Article  Google Scholar 

  9. Gerunda GE, Merenda R, Neri D, et al. Cavoportal hemitransposition: a successful way to overcome the problem of total portosplenomesenteric thrombosis in liver transplantation. Liver Transpl 2002; 8(1); 72–5.

    Article  PubMed  Google Scholar 

  10. Paskonis M, Jurgaitis J, Mehrabi A, et al. Surgical strategies for liver transplantation in the case of portal vein thrombosis- current role of cavoportal hemitransposition and renoportal anastomosis. Clin Transplant. 2006; 20(5):551–62.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We would like to thank Dr. Brandice Durkan, MD for her illustrations in this manuscript.

Author information

Authors and Affiliations

  1. Department of Surgery, Division of Abdominal Transplantation, Cedars-Sinai Medical Center, Los Angeles, CA, USA

    Irene K. Kim & Andrew Klein

  2. Comprehensive Transplant Center, 8900 Beverly Blvd., Los Angeles, CA, 90048, USA

    Irene K. Kim & Andrew Klein

Authors
  1. Irene K. Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Andrew Klein
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Irene K. Kim.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kim, I.K., Klein, A. Hepatic Vascular Control in Liver Transplant and Application in Gastrointestinal Surgery. J Gastrointest Surg 19, 2074–2078 (2015). https://doi.org/10.1007/s11605-015-2853-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11605-015-2853-9

Keywords

Search

Navigation