Optimizing Liver Division Technique for Procuring Left Lateral Segment Grafts: New Anatomical Insights

Autor: Giuseppe Salvatore Gallo, Giovanni Gentile, Giuseppe Mamone, Fabrizio di Francesco, Settimo Caruso, Ambra Di Piazza, Roberto Cannella, Vincenzo Carollo, Gianvincenzo Sparacia, Christine Cannataci, Jean de Ville de Goyet
Přispěvatelé: Carollo, Vincenzo, Cannella, Roberto, Sparacia, Gianvincenzo, Mamone, Giuseppe, Caruso, Settimo, Cannataci, Christine, Gentile, Giovanni, Gallo, Giuseppe Salvatore, Di Piazza, Ambra, di Francesco, Fabrizio, de Ville de Goyet, Jean
Rok vydání: 2020
Předmět:
Zdroj: Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society. 27(2)
ISSN: 1527-6473
Popis: Left liver lobe (left lateral segment) grafts (LLG) is currently the most commonly used graft to transplant children (2/3 of cases currently in Europe); it is prepared by liver division (DL) in both living (LD) and deceased donors (DD) settings. Technically speaking, classical DL is through the parenchyma of segment IV - dividing the main left glissonean pedicle left to the main biliary confluence (trans-hilar (TH) approach): historically, this technique was introduced by Bismuth and Pichlmayr in 1988 in DD setting, and applied one year later for the first successful living donor transplantations by Strong (Figure 1).
Databáze: OpenAIRE