Related Experiment Video
Updated: Oct 24, 2026
New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
Published on: June 27, 2025
A new technique of hepatic vein reconstruction in living related liver transplantation
1Third Department of Surgery, Nihon University School of Medicine, Tokyo, Japan.
Objective:
To attempt to reconstruct the hepatic vein safely and easily in living related liver transplantation (LRLT).
Design:
Retrospective case series.
Subjects:
Four patients over 15 years of age underwent LRLT.
Intervention:
A surgical technique of hepatic vein anastomosis, using the common anastomotic orifice of the middle and left hepatic veins of a left lobe graft and the right hepatic vein of the recipient. After reperfusion, the graft is immobilized in a position decided upon using color Doppler ultrasonography to ensure no out-flow block.
Results:
The graft is lowered below the right diaphragm and rotated 90 degrees. This condition provides good visibility, enabling an accurate anastomosis. Four patients developed no complications included with out-flow block and hemorrhage.
Conclusions:
This technique is safe and easy for reconstruction of the hepatic vein in LRLT.
