Article Type
Original Study
Abstract
Introduction : Living-related liver transplantation is gaining increasing acceptance in Egypt and is the only available liver transplantation technique as cadaveric grafts are not approved by law. However it needs high surgical skills regarding hepatic surgery, micro vascular anastomosis & training on small biliary anastomosis. Aim : Provide surgical team responsible for living-related liver transplantation with frequent training on a model very similar to that in human. The aim is to acquire the required surgical skills. Methodology: This technique was done in 9 adult mongrel dogs of both sexes weighing between 8.5-15 kg, in experimental animal house in Urology nephrology center. General anesthesia is used in all dogs with intubation. Through midline incision and insertion of ring retractor, dissection of hepatic artery, portal vein, common bile duct and hepatic veins is done with preservation of IVC and isolated dissection of LHV and RHV. Division of HA, PV. CBD is then carried out followed by -clamping RHV & LHV and anterior ve-notomy of LHV. Infusion of PV with cold ringer's solution at 4 C~ with drainage from LHV venotomy. Rea-nastomosis of HA, PV, CBD & closure of venotomy is done at the end with revascularization of the graft. Wedge liver biopsy was taken before portal clamping, at 30 min ischemia, after
Recommended Citation
El-Shobari, Mohamed; Talaat, Ayman; Noor, Eman; Khalil, Mohsen; and Zalata K, Khaled
(2005)
"INSITU LIVER AUTOTRANSPLANTATION IN DOGS WITHOUT VENOVENOUS BYPASS, NOVEL TECHNIQUE FOR TRAINING ON LIVER TRANSPLANTATION,"
Mansoura Medical Journal: Vol. 34
:
Iss.
1
, Article 10.
Available at:
https://doi.org/10.21608/mjmu.2005.127769
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