We appreciate the interest of Sugawara et al in our report and agree that reconstruction
of the short hepatic veins may be preferable in living donor liver transplantation
using a left lobe graft containing the caudate lobe. The importance of venous drainage
in regeneration of the corresponding part of the partial liver graft was first reported
by Cheng et al.
1
They reported that segment 4 of the extended lateral lobe graft will result in atrophy
unless the graft has a branch of the left hepatic vein, which drains segment 4.
1
Left lobe transplantation with the caudate lobe was first reported by Miyagawa et
al.
2
The interesting point in their report was that the transplanted caudate lobe without
reconstruction of the short hepatic vein was almost uncongested.To read this article in full you will need to make a payment
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References
- Post-transplant changes of segments 4 after living related liver transplantation.Clin Transplant. 1998; 12: 476-481
- Concomitant caudate lobe resection as an option for donor hepatectomy in adult living related liver transplantation.Transplantation. 1998; 66: 661-663
- Changes in the caudate lobe that is transplanted with extended left lobe liver graft from living donors.Surgery. 2001; 129: 86-90
- Right lobe graft in living donor liver transplantation.Transplantation. 2000; 69: 258-264
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© 2002 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
