Abstract
Background: The hepatoduodenal ligament extends between the liver and the first portion of the duodenum and is continuous with the right border of the hepatogastric ligament. It contains the common bile duct, hepatic artery and portal vein as well as the hepatic plexus and the lymph nodes.
Recognising abnormal arterial vascularisation and creating the landmarks (small segment dissection) of the following structures: common bile duct (CBD), gastroduodenal artery and common, proper and/or aberrant hepatic artery are very important steps during abdominal organ procurement. Flushing the CBD, intrahepatic biliary tree and cleaning gallbladder or ligating of cystic duct will prevent intra-hepatic biliary lesions after liver transplantation.
Conclusion: Creating landmarks by partial dissection of the hepatoduodenal ligament structures before organ perfusion is very important and could have an important influence on the quality and transplantability of the pancreas and the liver.
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Baranski, A. (2008). Hepatoduodenal Ligament and Biliary Tree. In: Surgical Technique of the Abdominal Organ Procurement. Springer, London. https://doi.org/10.1007/978-1-84800-251-7_8
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DOI: https://doi.org/10.1007/978-1-84800-251-7_8
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