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Hepatic volume profiles in potential living liver donors with anomalous right-sided ligamentum teres.

Abdom Radiol (NY) 2020 Oct 16. Epub 2020 Oct 16.

Division of Liver Transplantation and Hepatobiliary Surgery, and Departments of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Purpose: In living liver donors with rare anatomical anomaly of right-sided ligamentum teres (RSLT), right or left hemiliver procurement is commonly contraindicated. The purpose of this study was to evaluate the hepatic volume profiles in potential donors with RSLT using semi-automated CT volumetry (CTV).

Methods: Among 5535 potential donor candidates in our institution between April 2003 and May 2019, 23 cases of RSLT (0. Read More

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October 2020

A case of perihilar cholangiocarcinoma with bilateral ligamentum teres hepatis treated with hepatopancreatoduodenectomy.

Surg Case Rep 2020 Jan 30;6(1):32. Epub 2020 Jan 30.

Division of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer Center Hospital, 1007, Shimo-Nagakubo, Sunto-Nagaizumi, Shizuoka, 411-8777, Japan.

Background: Bilateral ligamentum teres (BLT) hepatis is a very rare anomaly defined as the connection of the bilateral fetal umbilical veins to both sides of the paramedian trunk, and it has never been reported in the English literature.

Case Presentation: A 72-year-old man who presented with obstructive jaundice was referred to our hospital. Contrast-enhanced computed tomography revealed that the patient had right-sided ligamentum teres (RSLT) and left-sided ligamentum teres (LSLT). Read More

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January 2020

Is right-sided ligamentum teres hepatis always accompanied by left-sided gallbladder? Case reports and literature review.

Insights Imaging 2018 Dec 19;9(6):955-960. Epub 2018 Nov 19.

Department of Radiology, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Rd., Beitou District, Taipei, 112, Taiwan, Republic of China.

Right-sided ligamentum teres (RSLT) hepatis is a rare anatomical variant in which the fetal umbilical vein is connected to the right paramedian trunk of the portal vein. Despite its rarity, it is crucial for surgeons and intervention specialists because of its frequent association with intrahepatic vascular and biliary anomalies. Inattention to these anomalies before intervention, especially living-donor liver transplantation, can have life-threatening consequences. Read More

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December 2018

New techniques for liver transplantation: reduced-size, split-liver, living-related and auxiliary liver transplantation.

Scand J Gastroenterol Suppl 1995 ;208:97-100

Liver Transplant Program, Methodist Hospital of Indiana, Indianapolis 46202-1299, USA.

Mortality among patients on a waiting list for orthotopic liver transplantation continues to be 10-15%; this is of particular concern in the pediatric population and may become more problematic in adult patients as longer waiting lists for cadaveric transplantation accrue. The longer cold ischemia times afforded by use of University of Wisconsin (UW) solution and improved hepatic surgery techniques have allowed the development of reduced-size liver transplantation (RSLT), split-liver transplantation (SLT), and living-related liver transplantation (LRLT). These new surgical techniques have been predominantly employed in children, up to 40% of whom may be candidates for one of these modified procedures. Read More

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The impact of liver reductions in pediatric liver transplantation.

Arch Surg 1991 Oct;126(10):1278-85; discussion 1285-6

Pacific Transplant Institute, California Pacific Medical Center, San Francisco 94115.

Reduced-size liver transplantation (RSLT) in children was introduced to alleviate a shortage of small-organ donors. The impact of RSLT on the waiting time for an organ and on morbidity and mortality was investigated. Between March 25, 1988, and August 11, 1990, 61 hepatic transplantations were performed in 55 children at the Pacific Transplant Institute in San Francisco, Calif. Read More

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October 1991
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