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Living donor liver transplant for fibrolamellar hepatocellular carcinoma using a deceased donor graft to reconstruct inferior vena cava

โœ Scribed by Kellee Slater; Thomas E. Bak; Igal Kam; Michael E. Wachs


Publisher
John Wiley and Sons
Year
2004
Tongue
English
Weight
110 KB
Volume
10
Category
Article
ISSN
1527-6465

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โœฆ Synopsis


Liver transplantation is now an acceptable treatment for small hepatocellular carcinomas in the setting of cirrhosis. Larger tumors in cirrhotic livers and unresectable tumors in noncirrhotic livers (including fibrolamellar hepatocellular carcinomas) may also be indications for transplantation. With the limited number of cadaver grafts available, living donor liver transplant is becoming an option for some of these patients. We describe a method of reconstruction of the recipient inferior vena cava with deceased donor graft in right lobe living donation for fibrolamellar hepatocellular carcinoma. (Liver


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Partial or complete obstruction of the inferior vena cava (IVC), due to anastomotic stenosis or thrombosis leading to hepatic outflow obstruction, is a recognized complication of orthotopic liver transplantation (OLT). Although its overall incidence is less than 2%, it is more commonly reported afte