FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3200411587> ?p ?o ?g. }

• W3200411587 endingPage "S554" @default.
• W3200411587 startingPage "S553" @default.
• W3200411587 abstract "Presenter: Nicolas Goldaracena MD | University of Virginia Health System Background: Living donor liver transplantation (LDLT) emerged to overcome the organ shortage and reduce waitlist mortality. However, is a technically demanding operation that requires careful preoperative preparation, as well as a meticulous surgery. To reduce the risk of small for size syndrome, a balance between a sufficient graft size, the degree of the recipient’s portal hypertension and adequate outflow reconstruction to avoid venous congestion of the graft are mandatory. Different approaches are being utilized to perform an optimal outflow reconstruction during LDLT. However, proper graft positioning, enlarged outflow openings and reconstruction of venous outflow of all liver sectors are crucial to achieve a congestion-free graft. Methods: A video abstract is presented illustrating the approach used for venous outflow reconstruction and graft reperfusion during LDLT with a right lobe graft. Results: The living donor graft consisted of a right lobe without the middle hepatic vein (MHV). As venous outflow, the graft had a dominant right hepatic vein (RHV), an accessory segment 6/7 vein and a segment 8 vein that needed reconstruction for optimal graft venous drainage. The approach used consists of performing a total caval clamping that facilitates a wide opening of the recipient’s vena cava, as anastomosis sites, while ensuring an optimal graft positioning and orientation. Once the RHV and segment 6/7 vein are reconstructed, the outflow of the anterior sector (segment 8 vein) is temporarily clamped to be reconstructed sequentially to the MHV following graft reperfusion. Therefore, portal vein anastomosis is then performed and following the release of the caval clamps the graft is reperfused via the portal vein. Once the graft is reperfused, the anastomoses of the graft segment 8 vein to the recipient’s MHV is performed with an interposition cadaveric iliac vein that was previously anastomosed to the segment 8 vein of the graft in the backtable. Conclusion: In our opinion, total caval clamping in LDLT ensures the possibility of providing enlarged outflow openings without compromising graft positioning and orientation. Therefore, this approach allows an optimal venous outflow and a congestion free graft in LDLT. In addition, in order to shorten the total caval clamping time, sequential reconstruction of the anterior sector veins of right lobe grafts can be safely performed following reperfusion of the graft." @default.
• W3200411587 created "2021-09-27" @default.
• W3200411587 creator A5034179507 @default.
• W3200411587 creator A5048547910 @default.
• W3200411587 date "2021-01-01" @default.
• W3200411587 modified "2023-10-16" @default.
• W3200411587 title "Approach for outflow reconstruction and reperfusion in LDLT with a right lobe graft" @default.
• W3200411587 doi "https://doi.org/10.1016/j.hpb.2021.06.194" @default.
• W3200411587 hasPublicationYear "2021" @default.
• W3200411587 type Work @default.
• W3200411587 sameAs 3200411587 @default.
• W3200411587 citedByCount "0" @default.
• W3200411587 crossrefType "journal-article" @default.
• W3200411587 hasAuthorship W3200411587A5034179507 @default.
• W3200411587 hasAuthorship W3200411587A5048547910 @default.
• W3200411587 hasBestOaLocation W32004115871 @default.
• W3200411587 hasConcept C105702510 @default.
• W3200411587 hasConcept C121332964 @default.
• W3200411587 hasConcept C141071460 @default.
• W3200411587 hasConcept C153294291 @default.
• W3200411587 hasConcept C2777202286 @default.
• W3200411587 hasConcept C2777876421 @default.
• W3200411587 hasConcept C2779609443 @default.
• W3200411587 hasConcept C2911091166 @default.
• W3200411587 hasConcept C2991966547 @default.
• W3200411587 hasConcept C71924100 @default.
• W3200411587 hasConcept C8443397 @default.
• W3200411587 hasConcept C86132830 @default.
• W3200411587 hasConceptScore W3200411587C105702510 @default.
• W3200411587 hasConceptScore W3200411587C121332964 @default.
• W3200411587 hasConceptScore W3200411587C141071460 @default.
• W3200411587 hasConceptScore W3200411587C153294291 @default.
• W3200411587 hasConceptScore W3200411587C2777202286 @default.
• W3200411587 hasConceptScore W3200411587C2777876421 @default.
• W3200411587 hasConceptScore W3200411587C2779609443 @default.
• W3200411587 hasConceptScore W3200411587C2911091166 @default.
• W3200411587 hasConceptScore W3200411587C2991966547 @default.
• W3200411587 hasConceptScore W3200411587C71924100 @default.
• W3200411587 hasConceptScore W3200411587C8443397 @default.
• W3200411587 hasConceptScore W3200411587C86132830 @default.
• W3200411587 hasLocation W32004115871 @default.
• W3200411587 hasOpenAccess W3200411587 @default.
• W3200411587 hasPrimaryLocation W32004115871 @default.
• W3200411587 hasRelatedWork W1748148917 @default.
• W3200411587 hasRelatedWork W2011020658 @default.
• W3200411587 hasRelatedWork W2050281027 @default.
• W3200411587 hasRelatedWork W2074062726 @default.
• W3200411587 hasRelatedWork W2133214205 @default.
• W3200411587 hasRelatedWork W2149820476 @default.
• W3200411587 hasRelatedWork W2150048131 @default.
• W3200411587 hasRelatedWork W2403524208 @default.
• W3200411587 hasRelatedWork W3026294240 @default.
• W3200411587 hasRelatedWork W4306318885 @default.
• W3200411587 hasVolume "23" @default.
• W3200411587 isParatext "false" @default.
• W3200411587 isRetracted "false" @default.
• W3200411587 magId "3200411587" @default.
• W3200411587 workType "article" @default.