Alternatives to the double vena cava method in partial liver transplantation
Yoji Kishi, Yasuhiko Sugawara, Yuichi Matsui, Nobuhisa Akamatsu, Noboru Motomura, Shinichi Takamoto, Masatoshi Makuuchi – 22 December 2004 – Minimizing graft congestion in partial liver transplantation is important, especially when the graft weight is marginal for the recipient metabolic demand. We prefer the double vena cava technique for reconstructing middle hepatic vein tributaries with thick, short hepatic veins because the technique can reduce the warm ischemic time of the graft and make a wide anastomosis. This technique requires a cryopreserved superior or inferior vena cava.