Temporary portal decompression during liver transplantation: a video review of the different techniques
Purpose Temporary portal decompression (TPD) during liver transplantation (LT) remains a divisive technical issue in the liver transplant community. In this video-based article, we show the technical details of the different techniques used for TPD during LT. Methods An early portal section, before...
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| Veröffentlicht in: | Langenbeck's archives of surgery 2021-02, Vol.406 (1), p.227-231 |
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| creator | Addeo, Pietro Julliard, Olivier Terrone, Alfonso Schaaf, Caroline Faitot, François Bachellier, Philippe |
| description | Purpose
Temporary portal decompression (TPD) during liver transplantation (LT) remains a divisive technical issue in the liver transplant community. In this video-based article, we show the technical details of the different techniques used for TPD during LT.
Methods
An early portal section, before liver mobilization, should be preferred in order to achieve hepatectomy of a totally devascularized liver. Portal decompression can be achieved through direct right portocaval shunts and indirect portosystemic shunts (i.e., mesentericosaphenous and portosaphenous shunts).
Results
The preference for direct portocaval or indirect portosystemic shunts is tailored on patients and anatomical characteristics. Each of these three techniques presents specific indications, limitations, and advantages.
Conclusion
TPD during LT can be achieved through different techniques that aim to facilitate the recipient hepatectomy, reduce the blood loss, and maintain hemodynamic stability. |
| doi_str_mv | 10.1007/s00423-020-01991-z |
| format | Article |
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Temporary portal decompression (TPD) during liver transplantation (LT) remains a divisive technical issue in the liver transplant community. In this video-based article, we show the technical details of the different techniques used for TPD during LT.
Methods
An early portal section, before liver mobilization, should be preferred in order to achieve hepatectomy of a totally devascularized liver. Portal decompression can be achieved through direct right portocaval shunts and indirect portosystemic shunts (i.e., mesentericosaphenous and portosaphenous shunts).
Results
The preference for direct portocaval or indirect portosystemic shunts is tailored on patients and anatomical characteristics. Each of these three techniques presents specific indications, limitations, and advantages.
Conclusion
TPD during LT can be achieved through different techniques that aim to facilitate the recipient hepatectomy, reduce the blood loss, and maintain hemodynamic stability.</description><identifier>ISSN: 1435-2443</identifier><identifier>EISSN: 1435-2451</identifier><identifier>DOI: 10.1007/s00423-020-01991-z</identifier><identifier>PMID: 32965584</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abdominal Surgery ; Cardiac Surgery ; General Surgery ; How-I-Do-It articles ; Human health and pathology ; Life Sciences ; Medicine ; Medicine & Public Health ; Thoracic Surgery ; Traumatic Surgery ; Vascular Surgery</subject><ispartof>Langenbeck's archives of surgery, 2021-02, Vol.406 (1), p.227-231</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c332t-5bf94e936767b006a11ef7c941aece8fd8a9c318ec30aad1e728c5168997f9263</cites><orcidid>0000-0003-0046-7973</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00423-020-01991-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00423-020-01991-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32965584$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-04577078$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Addeo, Pietro</creatorcontrib><creatorcontrib>Julliard, Olivier</creatorcontrib><creatorcontrib>Terrone, Alfonso</creatorcontrib><creatorcontrib>Schaaf, Caroline</creatorcontrib><creatorcontrib>Faitot, François</creatorcontrib><creatorcontrib>Bachellier, Philippe</creatorcontrib><title>Temporary portal decompression during liver transplantation: a video review of the different techniques</title><title>Langenbeck's archives of surgery</title><addtitle>Langenbecks Arch Surg</addtitle><addtitle>Langenbecks Arch Surg</addtitle><description>Purpose
Temporary portal decompression (TPD) during liver transplantation (LT) remains a divisive technical issue in the liver transplant community. In this video-based article, we show the technical details of the different techniques used for TPD during LT.
Methods
An early portal section, before liver mobilization, should be preferred in order to achieve hepatectomy of a totally devascularized liver. Portal decompression can be achieved through direct right portocaval shunts and indirect portosystemic shunts (i.e., mesentericosaphenous and portosaphenous shunts).
Results
The preference for direct portocaval or indirect portosystemic shunts is tailored on patients and anatomical characteristics. Each of these three techniques presents specific indications, limitations, and advantages.
Conclusion
TPD during LT can be achieved through different techniques that aim to facilitate the recipient hepatectomy, reduce the blood loss, and maintain hemodynamic stability.</description><subject>Abdominal Surgery</subject><subject>Cardiac Surgery</subject><subject>General Surgery</subject><subject>How-I-Do-It articles</subject><subject>Human health and pathology</subject><subject>Life Sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Thoracic Surgery</subject><subject>Traumatic Surgery</subject><subject>Vascular Surgery</subject><issn>1435-2443</issn><issn>1435-2451</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kUFP3DAQhS1UVLZL_wCHysdyCNixE8e9IQRspZW4LGfL64xZoyRObWcR_Pp6Cd1jT2N5vnmaeQ-hC0quKCHiOhLCS1aQkhSESkmL9xO0oJxVRckr-uX45uwMfYvxhRBSC8m_ojNWyrqqGr5AzxvoRx90eMO5JN3hFozvxwAxOj_gdgpueMad20PAKeghjp0ekk65-QtrvHcteBxg7-AVe4vTDnDrrIUAQ8IJzG5wfyaI5-jU6i7C98-6RE_3d5vbVbF-fPh9e7MuDGNlKqqtlRwkq0UttnldTSlYYSSnGgw0tm20NIw2YBjRuqUgysZUtG6kFFaWNVuiy1l3pzs1Btfny5TXTq1u1urwR3glBBHNnmb258yOwR92TKp30UCXDwQ_RZWdq3h2qpEZLWfUBB9jAHvUpkQdwlBzGCqHoT7CUO956Men_rTtoT2O_HM_A2wG4nhwGYJ68VMYsj__k_0LR4GWwg</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Addeo, Pietro</creator><creator>Julliard, Olivier</creator><creator>Terrone, Alfonso</creator><creator>Schaaf, Caroline</creator><creator>Faitot, François</creator><creator>Bachellier, Philippe</creator><general>Springer Berlin Heidelberg</general><general>Springer Verlag</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0003-0046-7973</orcidid></search><sort><creationdate>20210201</creationdate><title>Temporary portal decompression during liver transplantation: a video review of the different techniques</title><author>Addeo, Pietro ; Julliard, Olivier ; Terrone, Alfonso ; Schaaf, Caroline ; Faitot, François ; Bachellier, Philippe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c332t-5bf94e936767b006a11ef7c941aece8fd8a9c318ec30aad1e728c5168997f9263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abdominal Surgery</topic><topic>Cardiac Surgery</topic><topic>General Surgery</topic><topic>How-I-Do-It articles</topic><topic>Human health and pathology</topic><topic>Life Sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Thoracic Surgery</topic><topic>Traumatic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Addeo, Pietro</creatorcontrib><creatorcontrib>Julliard, Olivier</creatorcontrib><creatorcontrib>Terrone, Alfonso</creatorcontrib><creatorcontrib>Schaaf, Caroline</creatorcontrib><creatorcontrib>Faitot, François</creatorcontrib><creatorcontrib>Bachellier, Philippe</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Langenbeck's archives of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Addeo, Pietro</au><au>Julliard, Olivier</au><au>Terrone, Alfonso</au><au>Schaaf, Caroline</au><au>Faitot, François</au><au>Bachellier, Philippe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Temporary portal decompression during liver transplantation: a video review of the different techniques</atitle><jtitle>Langenbeck's archives of surgery</jtitle><stitle>Langenbecks Arch Surg</stitle><addtitle>Langenbecks Arch Surg</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>406</volume><issue>1</issue><spage>227</spage><epage>231</epage><pages>227-231</pages><issn>1435-2443</issn><eissn>1435-2451</eissn><abstract>Purpose
Temporary portal decompression (TPD) during liver transplantation (LT) remains a divisive technical issue in the liver transplant community. In this video-based article, we show the technical details of the different techniques used for TPD during LT.
Methods
An early portal section, before liver mobilization, should be preferred in order to achieve hepatectomy of a totally devascularized liver. Portal decompression can be achieved through direct right portocaval shunts and indirect portosystemic shunts (i.e., mesentericosaphenous and portosaphenous shunts).
Results
The preference for direct portocaval or indirect portosystemic shunts is tailored on patients and anatomical characteristics. Each of these three techniques presents specific indications, limitations, and advantages.
Conclusion
TPD during LT can be achieved through different techniques that aim to facilitate the recipient hepatectomy, reduce the blood loss, and maintain hemodynamic stability.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32965584</pmid><doi>10.1007/s00423-020-01991-z</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-0046-7973</orcidid></addata></record> |
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| source | Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Cardiac Surgery General Surgery How-I-Do-It articles Human health and pathology Life Sciences Medicine Medicine & Public Health Thoracic Surgery Traumatic Surgery Vascular Surgery |
| title | Temporary portal decompression during liver transplantation: a video review of the different techniques |
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