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Clinical application of piggyback liver transplantation and modified surgery
Qifa Ye, Yingzi Ming, Ke Cheng, Yujun Zhao, Shaojun Ye, Zhen Fu
Published 2019-04-20
Cite as Chin J Dig Surg, 2019, 18(4): 311-315. DOI: 10.3760/cma.j.issn.1673-9752.2019.04.004
Abstract
Orthotopic liver transplantation (OLT) was first implemented by Starzl in 1963. With the development of liver transplantation, Tzaris was the first to report piggyback liver transplantation (PBLT) in 1989. The fundamental difference between OLT and PBLT: end to end vascular anastomosis between the donor and recipient is performed after diseased liver resection with the posthepatic inferior vena cava in OLT, while PBLT is to preserve the recipient′s hepatic vein and end to end vascular anastomosis between interior vena cava of donor and shaped hepatic vein is performed. However in the clinical practice, the above two techniques cannot meet the needs of clinical liver transplantation technology. Since 1993 the author has implemented a series of improvements in liver transplantation technology based on PBLT and performed ameliorated piggyback liver transplantation (APBLT). This article focuses on the technical characteristics and clinical application of APBLT.
Key words:
Liver diseases; Liver transplantation; Orthotopic liver transplantation; Piggyback live transplantation; Ameliorated piggyback liver transplantation; Clinical application
Contributor Information
Qifa Ye
Zhongnan Hospital of Wuhan University, Institute of Hepato-biliary Diseases of Wuhan University, Transplant Center of Wuhan University, Hubei Key Laboratory of Medical Technology on Transplantation, Wuhan 430071, China
Transplantation Center, the Third Xiangya Hospital of Central South University, Research Center of National Health Ministry on Transplantation Medicine Engineering and Technology, Changsha 410013, China
Yingzi Ming
Zhongnan Hospital of Wuhan University, Institute of Hepato-biliary Diseases of Wuhan University, Transplant Center of Wuhan University, Hubei Key Laboratory of Medical Technology on Transplantation, Wuhan 430071, China
Ke Cheng
Zhongnan Hospital of Wuhan University, Institute of Hepato-biliary Diseases of Wuhan University, Transplant Center of Wuhan University, Hubei Key Laboratory of Medical Technology on Transplantation, Wuhan 430071, China
Yujun Zhao
Zhongnan Hospital of Wuhan University, Institute of Hepato-biliary Diseases of Wuhan University, Transplant Center of Wuhan University, Hubei Key Laboratory of Medical Technology on Transplantation, Wuhan 430071, China
Shaojun Ye
Zhongnan Hospital of Wuhan University, Institute of Hepato-biliary Diseases of Wuhan University, Transplant Center of Wuhan University, Hubei Key Laboratory of Medical Technology on Transplantation, Wuhan 430071, China
Zhen Fu
Zhongnan Hospital of Wuhan University, Institute of Hepato-biliary Diseases of Wuhan University, Transplant Center of Wuhan University, Hubei Key Laboratory of Medical Technology on Transplantation, Wuhan 430071, China
