Venous outflow reconstruction during living-related donor liver transplantation in children

Abstract

As for now, liver transplantation is the only radical treatment in children with terminal stages of chronic liver diseases. In children under 3 years of age, transplantation of the liver from a living-related donor generally uses a left lateral hepatic section graft of the donor. Adequate graft venous outflow is crucial. The aim of the study was to define indications for the use of various methods for venous outflow reconstruction in young children. With this aim in mind, the results of living-related donor liver transplantation were studied in 22 children 6 months to 3 years of age and weighing < 3 kg. The paper describes the procedures of venous reconstruction of graft hepatic veins and the results of their use. Criteria for choosing this or that procedure are given.

Keywords

• liver transplantation
• biliary atresia
• venous plasty