The Utility of Recanalized Umbilical Vein Graft to the Hepato-pancreato-biliary Surgeon

Rochon, Caroline; Sheiner, Patricia A.; Sharma, Joyti; Rodríguez-Dávalos, Manuel I.; Savino, John A.; Facciuto, Marcelo

doi:10.1177/1553350612447691

Cited by 13 publications

(5 citation statements)

References 17 publications

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“…One of the problems of using an umbilical or cryopreserved vein as a conduit is poor patency due to thrombus (5,6). However, our procedure carries a low risk because a vein graft is used as a wide flap sheet.…”

Section: Discussionmentioning

confidence: 98%

Hemispheric Outflow Reconstruction With Autologous Umbilical Vein in Living Donor Liver Transplantation

Yoshida

Yamazaki

Takayama

et al. 2017

International Surgery

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A 44-year-old man with hepatitis C virus-related cirrhosis underwent LDLT. The donor was his identical twin elder brother. On computed tomography, the markedly dilated umbilical vein was observed as a hepatofugal collateral. An extended left liver graft with the caudate lobe was harvested in a conventional manner. One orifice outflow reconstruction was performed by using an umbilical vein which was extracted from the recipient. This vein-flap sheet was sutured to the outflow orifice of the liver graft in a two-thirds circle on the ventral side. One wide outflow orifice with a 90-mm vein umbilical-vein flap on the ventral wall of outflow was created. Excellent triphasic waveforms and velocities were demonstrated on postoperative Doppler ultrasonography. The post-transplant course was uneventful, with no need for immunosuppressants, and the patient was discharged without any complications on postoperative day 27. The volume of left liver increased from 406 cm3 to 1,372 cm3 during the first 6 weeks after transplantation.

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Section: Discussionmentioning

confidence: 98%

Hemispheric Outflow Reconstruction With Autologous Umbilical Vein in Living Donor Liver Transplantation

Yoshida

Yamazaki

Takayama

et al. 2017

International Surgery

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“…The parietal peritoneum is considered as a rapidly available option for vascular reconstruction, especially for unplanned lateral reconstruction of the SMV-PV with the need of a patch, whereas the falciform ligament has been suggested as an option in case of the need of an interposition graft [31][32][33][34] . Other types of reconstruction revealed during the search was xenografts (bovine pericardium) or recanalized umbilical vein (Mesorex), but the reports in the literature were based on case reports or small case series [35,36] .…”

Section: Discussionmentioning

confidence: 99%

Graft type for superior mesenteric and portal vein reconstruction in pancreatic surgery – A systematic review

Labori

Kleive

Khan

et al. 2021

HPB

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“…Others have used SV, saphenous veins, coronary vein, synthetic material, or deceased donor iliac vein. 37,56,57 After patency of the intrahepatic portal system been confirmed, the LPV to IJ anastomosis is performed with running 6-0 monofilament sutures. Then, the conduit is brought to the vicinity of the SMV via transmesocolic fashion, the end-to-side anastomosis is performed between the conduit and the SMV using 6-0 polypropylene sutures.…”

Section: Splenorenal and Splenocaval Shuntsmentioning

confidence: 99%

Surgical Portosystemic Shunts: History, Evolution, and Current Applications

López‐Verdugo

Sánchez-García

Gagnon

et al. 2020

Digestive Disease Interventions

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AbstractMechanical obstruction, thrombus, intrinsic liver disease causing fibrosis or cirrhosis, or an outflow obstruction at the level of the sinusoids or hepatic venous obstruction can cause an increase in pressure or resistance, or both, leading to portal hypertension (PH). Portosystemic shunts (PSS) are usually performed to relieve the congestion that inevitably occurs in the setting of PH. Since their introduction, surgical PSS were often the treatment of choice to prevent recurrent bleeding in patients with clinically significant PH. Development of novel pharmacological therapies, continuous improvement of endoscopic approaches, the introduction of transjugular intrahepatic portosystemic shunt, and advancements in transplantation has provided an evolution in the approach for PH and has precipitated the steady decrease in the proportion of patients needing surgical shunts. Despite this, PSS remain important tools in the surgeon's armamentarium, as they are often employed in the pediatric population with extrahepatic portal vein obstruction and are frequently being used for portal inflow modulation to achieve better portal hemodynamics in resections and transplantation. This has become of great relevance to decrease the risk of small-for-size syndrome and portal hyperperfusion in liver transplantation, and to decrease the risk of posthepatectomy liver dysfunction after major resections in hepatobiliary surgery.

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The Utility of Recanalized Umbilical Vein Graft to the Hepato-pancreato-biliary Surgeon

Abstract: The umbilical vein graft is a fine vascular conduit and can serve many purposes in hepatobiliary surgery.

Cited by 13 publications

References 17 publications

Hemispheric Outflow Reconstruction With Autologous Umbilical Vein in Living Donor Liver Transplantation

Hemispheric Outflow Reconstruction With Autologous Umbilical Vein in Living Donor Liver Transplantation

Graft type for superior mesenteric and portal vein reconstruction in pancreatic surgery – A systematic review

Surgical Portosystemic Shunts: History, Evolution, and Current Applications

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