Anatomical Variations of Donor Liver and Surgical Strategies in Adult-to-Adult Living Donor Liver Transplantation Using Right Lobe Grafts_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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吕波 , 文天夫 , 严律南

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右半肝; 活体供肝; 解剖变异; 重建术

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Citation： 吕波,文天夫,严律南. Anatomical Variations of Donor Liver and Surgical Strategies in Adult-to-Adult Living Donor Liver Transplantation Using Right Lobe Grafts. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2007, 14(2): 150-154. doi: Copy

1.	Yamaoka Y, Washida M, Honda K, et al. Liver transplantation using a right lobe graft from a living related donor [Ｊ]. Transplantation, 1994; 57(7)∶1127.
2.	Lo CM, Fan ST, Liu CL, et al. Extending the limit on the size of adult recipient in living donor liver transplantation using extended right lobe graft [Ｊ]. Transplantation， 1997； 63(10)∶1524.
3.	Lo CM, Fan ST, Liu CL, et al. Adult-to-adult living donor liver transplantation using extended right lobe grafts [Ｊ]. Ann Surg， 1997; 226（3）∶261.
4.	Hiatt JR, Gabbay J, Busuttil RW. Surgical anatomy of the hepatic arteries in 1 000 cases [Ｊ]. Ann Surg, 1994; 220(1)∶50.
5.	Nakamura T, Tanaka K, Kiuchi T， et al. Anatomical variations and surgical strategies in right lobe living donor liver transplantation: lessons from 120 cases [Ｊ]. Transplantation， 2002； 73(12)∶1896.
6.	Ahn CS, Lee SG, Hwang S， et al. Anatomic variation of the right hepatic artery and its reconstruction for living donor liver transplantation using right lobe graft [Ｊ]. Transplant Proc， 2005; 37(2)∶1067.
7.	Di Benedetto F, Lauro A, Masetti M, et al. Use of a branch patch with the cystic artery in living-related liver transplantation [Ｊ]. Clin Transplant， 2004; 18(4)∶480.
8.	Kasahara M, Sakamoto S, Ogawa K, et al. The use of a mesenteric artery of Roux-en-Y limb for hepatic arterial reconstruction after living-donor liver transplantation [Ｊ]. Transplantation， 2005; 80(4)∶538.
9.	Lee SG, Hwang S, Kim KH， et al. Approach to anatomic variations of the graft portal vein in right lobe living-donor liver transplantation [Ｊ]. Transplantation， 2003; 75(3 Suppl)∶S28.
10.	Pomfret EA, Pomposelli JJ, Lewis WD, et al. Live donor adult liver transplantation using right lobe grafts: donor evaluation and surgical outcome [Ｊ]. Arch Surg， 2001； 136(4)∶425.
11.	Renz JF, Busuttil RW. Adult-to-adult living-donor liver transplantation: a critical analysis [Ｊ]. Semin Liver Dis， 2000; 20(4)∶411.
12.	Marcos A, Ham JM, Fisher RA, et al. Single-center analysis of the first 40 adult-to-adult living donor liver transplants using the right lobe [Ｊ]. Liver Transpl， 2000; 6(3)∶296.
13.	Michael W， James TF， Thomas B， et al. Living donor liver transplantation: surgical considerations [Ｊ]. Current Opinion in Organ Transplantation， 2001； 6(4)∶359.
14.	Lo CM, Fan ST, Liu CL, et al. Hepatic venoplasty in living-donor liver transplantation using right lobe graft with middle hepatic vein [Ｊ]. Transplantation， 2003; 75（3）∶358.
15.	Lee KW, Lee DS, Lee HH, et al. Interpostion vein graft in living donor liver transplantation [Ｊ]. Transplant Proc， 2004; 36(8)∶2261.
16.	Dong G, Sankary HN, Malago M, et al. Cadaver iliac vein outflow reconstruction in living donor right lobe liver transplantation [Ｊ]. J Am Coll Surg， 2004; 199(3)∶504.
17.	Fan ST, Lo CM, Liu CL, et al. Safety and necessity of including the middle hepatic vein in the right lobe graft in adult-to-adult live donor liver transplantation [Ｊ]. Ann Surg， 2003; 238(1)∶137.
18.	Kasahara M, Takada Y, Fujimoto Y, et al. Impact of right lobe with middle hepatic vein graft in living-donor liver transplantation [Ｊ]. Am J Transplant， 2005; 5(6)∶1339.
19.	Shah SA, Grant DR, Greig PD, et al. Analysis and outcomes of right lobe hepatectomy in 101 consecutive living donors [Ｊ]. Am J Transplant， 2005; 5(11)∶2764.
20.	Kaneko T, Kaneko K, Sugimoto H, et al. Intrahepatic anastomosis formation between the hepatic veins in the graft liver of the living related liver transplantation: observation by Doppler ultrasonography [Ｊ]. Transplantation， 2000; 70(6)∶982.
21.	Kaneko T, Sugimoto H, Hirota M, et al. Intrahepatic venous anastomosis formation of the right liver in living donor liver transplantation: evaluations by Doppler ultrasonography and pulse-inversion ultrasonography with Levovist [Ｊ]. Surgery， 2005; 138(1)∶21.
22.	Marcos A, Ham JM, Fisher RA, et al. Surgical management of anatomical variations of the right lobe in living donor liver transplantation [Ｊ]. Ann Surg, 2000; 231(6)∶824.
23.	Marcos A, Orloff M, Mieles L, et al. Functional venous anatomy for right-lobe grafting and techniques to optimize outflow [Ｊ]. Liver Transpl, 2001; 7(10)∶845.
24.	Sugawara Y, Makuuchi M, Sano K, et al. Vein reconstruction in modified right liver graft for living donor liver transplantation [Ｊ]. Ann Surg， 2003; 237(2)∶180.
25.	Gyu Lee S, Min Park K, Hwang S, et al. Modified right liver graft from a living donor to prevent congestion [Ｊ]. Transplantation， 2002; 74(1)∶54.
26.	de Villa VH, Chen CL, Chen YS, et al. Right lobe living donor liver transplantation-addressing the middle hepatic vein controversy [Ｊ]. Ann Surg， 2003; 238(2)∶275.
27.	Cattral MS, Molinari M, Vollmer CM Jr, et al. Living-donor right hepatectomy with or without inclusion of middle hepatic vein: comparison of morbidity and outcome in 56 patients [Ｊ]. Am J Transplant， 2004; 4（5）∶751.
28.	Scatton O, Belghiti J, Dondero F, et al. Harvesting the middle hepatic vein with a right hepatectomy does not increase the risk for the donor [Ｊ]. Liver Transpl， 2004; 10(1)∶71.
29.	Lo CM, Fan ST, Liu CL, et al. Lessons learned from one hundred right lobe living donor liver transplants [Ｊ]. Ann Surg， 2004; 240（1）∶151.
30.	Kim RD, Sakamoto S, Haider MA， et al. Role of magnetic resonance cholangiography in assessing biliary anatomy in right lobe living donors [Ｊ]. Transplantation， 2005; 79(10)∶1417.
31.	Gondolesi GE, Varotti G, Florman SS, et al. Biliary complications in 96 consecutive right lobe living donor transplant recipients [Ｊ]. Transplantation， 2004; 77(12)∶1842.
32.	Sugawara Y, Makuuchi M, Sano K, et al. Duct-to-duct biliary reconstruction in living-related liver transplantation [Ｊ]. Transplantation， 2002; 73(8)∶1348.
33.	Yi NJ, Suh KS, Cho JY, et al. In adult-to-adult living donor liver transplantation hepaticojejunostomy shows a better long-term outcome than duct-to-duct anastomosis [Ｊ]. Transpl Int， 2005; 18(11)∶1240.
34.	Ishiko T, Egawa H, Kasahara M, et al. Duct-to-duct biliary reconstruction in living donor liver transplantation utilizing right lobe graft [Ｊ]. Ann Surg， 2002; 236(2)∶235.
35.	Fan ST, Lo CM, Liu CL. Technical refinement in adult-to-adult living donor liver transplantation using right lobe graft [Ｊ]. Ann Surg， 2000; 231（1）∶126.
36.	Liu CL, Lo CM, Fan ST. What is the best technique for right hemiliver living donor liver transplantation? With or without the middle hepatic vein? Duct-to-duct biliary anastomosis or Roux-en-Y hepaticojejunostomy? [Ｊ]. J Hepatol， 2005; 43(1)∶17.
37.	Suh KS, Choi SH, Yi NJ, et al. Biliary reconstruction using the cystic duct in right lobe living donor liver transplantation [Ｊ]. J Am Coll Surg， 2004; 199(4)∶661.
38.	Malago M, Testa G, Frilling A, et al. Right living donor liver transplantation: an option for adult patients: single institution experience with 74 patients [Ｊ]. Ann Surg， 2003; 238(6)∶853.
39.	Dulundu E, Sugawara Y, Sano K, et al. Duct-to-duct biliary reconstruction in adult living-donor liver transplantation [Ｊ]. Transplantation， 2004; 78(4)∶574.

1. 　Yamaoka Y, Washida M, Honda K, et al. Liver transplantation using a right lobe graft from a living related donor [Ｊ]. Transplantation, 1994; 57(7)∶1127.
2. 　Lo CM, Fan ST, Liu CL, et al. Extending the limit on the size of adult recipient in living donor liver transplantation using extended right lobe graft [Ｊ]. Transplantation， 1997； 63(10)∶1524.
3. 　Lo CM, Fan ST, Liu CL, et al. Adult-to-adult living donor liver transplantation using extended right lobe grafts [Ｊ]. Ann Surg， 1997; 226（3）∶261.
4. 　Hiatt JR, Gabbay J, Busuttil RW. Surgical anatomy of the hepatic arteries in 1 000 cases [Ｊ]. Ann Surg, 1994; 220(1)∶50.
5. 　Nakamura T, Tanaka K, Kiuchi T， et al. Anatomical variations and surgical strategies in right lobe living donor liver transplantation: lessons from 120 cases [Ｊ]. Transplantation， 2002； 73(12)∶1896.
6. 　Ahn CS, Lee SG, Hwang S， et al. Anatomic variation of the right hepatic artery and its reconstruction for living donor liver transplantation using right lobe graft [Ｊ]. Transplant Proc， 2005; 37(2)∶1067.
7. 　Di Benedetto F, Lauro A, Masetti M, et al. Use of a branch patch with the cystic artery in living-related liver transplantation [Ｊ]. Clin Transplant， 2004; 18(4)∶480.
8. 　Kasahara M, Sakamoto S, Ogawa K, et al. The use of a mesenteric artery of Roux-en-Y limb for hepatic arterial reconstruction after living-donor liver transplantation [Ｊ]. Transplantation， 2005; 80(4)∶538.
9. 　Lee SG, Hwang S, Kim KH， et al. Approach to anatomic variations of the graft portal vein in right lobe living-donor liver transplantation [Ｊ]. Transplantation， 2003; 75(3 Suppl)∶S28.
10. 　Pomfret EA, Pomposelli JJ, Lewis WD, et al. Live donor adult liver transplantation using right lobe grafts: donor evaluation and surgical outcome [Ｊ]. Arch Surg， 2001； 136(4)∶425.
11. 　Renz JF, Busuttil RW. Adult-to-adult living-donor liver transplantation: a critical analysis [Ｊ]. Semin Liver Dis， 2000; 20(4)∶411.
12. 　Marcos A, Ham JM, Fisher RA, et al. Single-center analysis of the first 40 adult-to-adult living donor liver transplants using the right lobe [Ｊ]. Liver Transpl， 2000; 6(3)∶296.
13. 　Michael W， James TF， Thomas B， et al. Living donor liver transplantation: surgical considerations [Ｊ]. Current Opinion in Organ Transplantation， 2001； 6(4)∶359.
14. 　Lo CM, Fan ST, Liu CL, et al. Hepatic venoplasty in living-donor liver transplantation using right lobe graft with middle hepatic vein [Ｊ]. Transplantation， 2003; 75（3）∶358.
15. 　Lee KW, Lee DS, Lee HH, et al. Interpostion vein graft in living donor liver transplantation [Ｊ]. Transplant Proc， 2004; 36(8)∶2261.
16. 　Dong G, Sankary HN, Malago M, et al. Cadaver iliac vein outflow reconstruction in living donor right lobe liver transplantation [Ｊ]. J Am Coll Surg， 2004; 199(3)∶504.
17. 　Fan ST, Lo CM, Liu CL, et al. Safety and necessity of including the middle hepatic vein in the right lobe graft in adult-to-adult live donor liver transplantation [Ｊ]. Ann Surg， 2003; 238(1)∶137.
18. 　Kasahara M, Takada Y, Fujimoto Y, et al. Impact of right lobe with middle hepatic vein graft in living-donor liver transplantation [Ｊ]. Am J Transplant， 2005; 5(6)∶1339.
19. 　Shah SA, Grant DR, Greig PD, et al. Analysis and outcomes of right lobe hepatectomy in 101 consecutive living donors [Ｊ]. Am J Transplant， 2005; 5(11)∶2764.
20. 　Kaneko T, Kaneko K, Sugimoto H, et al. Intrahepatic anastomosis formation between the hepatic veins in the graft liver of the living related liver transplantation: observation by Doppler ultrasonography [Ｊ]. Transplantation， 2000; 70(6)∶982.
21. 　Kaneko T, Sugimoto H, Hirota M, et al. Intrahepatic venous anastomosis formation of the right liver in living donor liver transplantation: evaluations by Doppler ultrasonography and pulse-inversion ultrasonography with Levovist [Ｊ]. Surgery， 2005; 138(1)∶21.
22. 　Marcos A, Ham JM, Fisher RA, et al. Surgical management of anatomical variations of the right lobe in living donor liver transplantation [Ｊ]. Ann Surg, 2000; 231(6)∶824.
23. 　Marcos A, Orloff M, Mieles L, et al. Functional venous anatomy for right-lobe grafting and techniques to optimize outflow [Ｊ]. Liver Transpl, 2001; 7(10)∶845.
24. 　Sugawara Y, Makuuchi M, Sano K, et al. Vein reconstruction in modified right liver graft for living donor liver transplantation [Ｊ]. Ann Surg， 2003; 237(2)∶180.
25. 　Gyu Lee S, Min Park K, Hwang S, et al. Modified right liver graft from a living donor to prevent congestion [Ｊ]. Transplantation， 2002; 74(1)∶54.
26. 　de Villa VH, Chen CL, Chen YS, et al. Right lobe living donor liver transplantation-addressing the middle hepatic vein controversy [Ｊ]. Ann Surg， 2003; 238(2)∶275.
27. 　Cattral MS, Molinari M, Vollmer CM Jr, et al. Living-donor right hepatectomy with or without inclusion of middle hepatic vein: comparison of morbidity and outcome in 56 patients [Ｊ]. Am J Transplant， 2004; 4（5）∶751.
28. 　Scatton O, Belghiti J, Dondero F, et al. Harvesting the middle hepatic vein with a right hepatectomy does not increase the risk for the donor [Ｊ]. Liver Transpl， 2004; 10(1)∶71.
29. 　Lo CM, Fan ST, Liu CL, et al. Lessons learned from one hundred right lobe living donor liver transplants [Ｊ]. Ann Surg， 2004; 240（1）∶151.
30. 　Kim RD, Sakamoto S, Haider MA， et al. Role of magnetic resonance cholangiography in assessing biliary anatomy in right lobe living donors [Ｊ]. Transplantation， 2005; 79(10)∶1417.
31. 　Gondolesi GE, Varotti G, Florman SS, et al. Biliary complications in 96 consecutive right lobe living donor transplant recipients [Ｊ]. Transplantation， 2004; 77(12)∶1842.
32. 　Sugawara Y, Makuuchi M, Sano K, et al. Duct-to-duct biliary reconstruction in living-related liver transplantation [Ｊ]. Transplantation， 2002; 73(8)∶1348.
33. 　Yi NJ, Suh KS, Cho JY, et al. In adult-to-adult living donor liver transplantation hepaticojejunostomy shows a better long-term outcome than duct-to-duct anastomosis [Ｊ]. Transpl Int， 2005; 18(11)∶1240.
34. 　Ishiko T, Egawa H, Kasahara M, et al. Duct-to-duct biliary reconstruction in living donor liver transplantation utilizing right lobe graft [Ｊ]. Ann Surg， 2002; 236(2)∶235.
35. 　Fan ST, Lo CM, Liu CL. Technical refinement in adult-to-adult living donor liver transplantation using right lobe graft [Ｊ]. Ann Surg， 2000; 231（1）∶126.
36. 　Liu CL, Lo CM, Fan ST. What is the best technique for right hemiliver living donor liver transplantation? With or without the middle hepatic vein? Duct-to-duct biliary anastomosis or Roux-en-Y hepaticojejunostomy? [Ｊ]. J Hepatol， 2005; 43(1)∶17.
37. 　Suh KS, Choi SH, Yi NJ, et al. Biliary reconstruction using the cystic duct in right lobe living donor liver transplantation [Ｊ]. J Am Coll Surg， 2004; 199(4)∶661.
38. 　Malago M, Testa G, Frilling A, et al. Right living donor liver transplantation: an option for adult patients: single institution experience with 74 patients [Ｊ]. Ann Surg， 2003; 238(6)∶853.
39. 　Dulundu E, Sugawara Y, Sano K, et al. Duct-to-duct biliary reconstruction in adult living-donor liver transplantation [Ｊ]. Transplantation， 2004; 78(4)∶574.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Anatomical Variations of Donor Liver and Surgical Strategies in Adult-to-Adult Living Donor Liver Transplantation Using Right Lobe Grafts

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