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KMID : 0870420070110030014
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2007 Volume.11 No. 3 p.14 ~ p.20
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Technical refinement of the anterior sectional drainage in right liver transplantation: a single center experience
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Yi Nam-Joon
Suh Kyung-Suk
Lee Kuhn-Uk
Shin Woo-Young
Lee Hae-Won
Kim Ju-Hyun
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Abstract
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Much progress has been made during the last 15 years in the technical aspect of living donor liver transplantation (LDLT). Understanding of the detailed anatomy and performing precise donor hepatectomy have contributed to this progress. One of the most important points is to solve the problem of anterior congestion that occurs in right liver transplantation, and this can lead to graft dysfunction. This review focuses on the various types of donor right hepatectomy and venous reconstruction for drainage of the anterior section in the recipient. Technical refinement of the anterior sectional drainage in right liver transplantation is currently an issue that transplant surgeons would like to see resolved. In LDLT, donor safety overrides the benefit for the recipient. Technical innovations should be balanced with the basic principle of the transplant team, “no harm” to the live donors.
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KEYWORD
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Living Donor Liver Transplantation, Donor Hepatectomy, Modified Extended Right Liver Graft, Modified Right Liver Graft, Anterior Section Congestion
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