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- Title
Stapled Anastomosis for Side-to-Side Cavo-Cavostomy in Orthotopic Liver Transplantation.
- Authors
Kruk, Emilia; Kalinowski, Piotr; Gibiński, Krzysztof; Dudek, Krzysztof; Skalski, Michał; Przybysz, Marta; Zhylko, Andriy; Nazarewski, Łukasz; Morawski, Marcin; Grąt, Michał
- Abstract
In liver transplantation, a side-to-side anastomosis is one of the commonly performed techniques of the inferior vena cava reconstruction. The authors report a case of an application of an endoscopic vascular linear stapler for a side-to-side caval anastomosis during deceased-donor liver transplantation. The back table procedure was performed in a standard fashion for a side-to-side anastomosis. The linear vascular stapler was introduced during the temporary clamping of the recipient's inferior vena cava and the anastomosis was created without problems. Suturing of the resulting defect completed the anastomosis. The use of the stapler resulted in a shortening of the anastomosis time. The staple line after the reperfusion of the graft was completely sealed. The patient's postoperative course was uncomplicated and post-operative ultrasound and computed tomography confirmed the patency of the anastomosis. This case demonstrates a novel approach to a side-to-side caval reconstruction during liver transplantation that enables a shortening of the implantation time and may improve the quality of anastomoses.
- Subjects
LIVER transplantation; SURGICAL anastomosis; VENA cava inferior; STAPLERS (Surgery); COMPUTED tomography
- Publication
Journal of Clinical Medicine, 2023, Vol 12, Issue 16, p5289
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm12165289