Abstract
The article describes and illustrates the surgical techniques and the post-operative imaging anatomy in liver transplantation. Special attention is paid to the variant vascular and biliary anatomy that are important for surgical planning. Considering the ever-growing number of liver transplants performed and the key role that imaging plays in the pre-operative planning and post-operative assessment, it is important for the radiologist to be familiar with the surgical techniques and the normal post-operative appearance in these patients.
Similar content being viewed by others
References
Based on the Global Observatory on Donation and Transplantation (GODT) data, produced by the WHO-ONT collaboration (http://www.transplant-observatory.org). Accessed October 21, 2019.
Girometti R, Como G, Bazzocchi M, Zuiani C (2014) Post-operative imaging in liver transplantation: state-of-the-art and future perspectives. World J Gastroenterol. https://doi.org/10.3748/wjg.v20.i20.6180
Bhargava p, Vaidya S, Dick AAS, and Dighe M (2011) Imaging of Orthotopic Liver Transplantation: Review. American Journal of Roentgenology. 196: 15-25.
Schroering JR, Kubal CA, Fridell JA, Hathaway TJ, Robinson RC, Mangus RS (2018) Impact of Variant Donor Hepatic Arterial Anatomy on Clinical Graft Outcomes in Liver Transplantation. https://doi.org/10.1002/lt.25316
Lerut JP, Gordon RD, Tzakis AG, Stieber AC, Iwatsuki S, Starzl TE (1988) The hepatic artery in orthotopic liver transplantation. Helv Chir Acta. 155(3):367–378.
Nishida S, Nakamura N, Vaidya A, et al (2006) Piggyback technique in adult orthotopic liver transplantation: an analysis of 1067 liver transplants at a single center. HPB (Oxford). https://doi.org/10.1080/13651820500542135
Kochhar G, Parungao JM, Hanouneh IA, Parsi MA (2013) Biliary complications following liver transplantation. World J Gastroenterol. https://doi.org/10.3748/wjg.v19.i19.2841
Brown RS Jr (2008) Live donors in liver transplantation. Gastroenterology. https://doi.org/10.1053/j.gastro.2008.02.092
She WH, Chok KS, Fung JY, Chan AC, Lo CM (2017) Outcomes of right-lobe and left-lobe living-donor liver transplantations using small-for-size grafts. World J Gastroenterol. https://doi.org/10.3748/wjg.v23.i23.4270
Hennedige T, Anil G, Madhavan K (2014) Expectations from imaging for pre-transplant evaluation of living donor liver transplantation. World J Radiol. 6(9): 693-707
Iqbal S, Iqbal R, Iqbal F (2017) Surgical Implications of Portal Vein Variations and Liver Segmentations: A Recent Update. J Clin Diagn Res. https://doi.org/10.7860/JCDR/2017/25028.9453
de Villa VH, Chen CL, Chen YS, et al (2003) Right lobe living donor liver transplantation-addressing the middle hepatic vein controversy. Ann Surg. https://doi.org/10.1097/01.SLA.0000081093.73347.28
Settmacher U, Theruvath T, Pascher A, Neuhaus P (2004) Living-donor liver transplantation - European experiences. Nephrol Dial Transplant. 19 Suppl 4:16-21.
Malago M, Testa G, Hertl M et al (2002) Biliary reconstruction following right adult living donor liver transplantation end-to-end or end-to-side duct-to-duct anastomosis. Langenbeck’s Arch Surg. https://doi.org/10.1007/s00423-002-0282-1
Kasahara M, Egawa H, Takada Y, et al (2006) Biliary reconstruction in right lobe living-donor liver transplantation: Comparison of different techniques in 321 recipients. Ann Surg. https://doi.org/10.1097/01.sla.0000206419.65678.2e
Sudhindran S, Menon RN, Balakrishnan D (2012) Challenges and Outcome of Left-lobe Liver Transplants in Adult Living Donor Liver Transplants. J Clin Exp Hepatol. https://doi.org/10.1016/S0973-6883(12)60106-6
Makki, K, Chorasiya, V, Srivastava, A, Singhal, A, Khan, A and Vij, V (2018) Analysis of caudate lobe biliary anatomy and its implications in living donor liver transplantation – a single centre prospective study. Transpl Int.https://doi.org/10.1111/tri.13272
Hackl C, Schmidt KM, Süsal C, Döhler B, Zidek M, Schlitt HJ (2018) Split liver transplantation: Current developments. World J Gastroenterol; 24(47):5312-5321
Funding
No funding was received for this article.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Disclosure
Alessandro Furlan has he following financial disclosures not related to the submitted work: Bracco consultant, Royalties from Elsevier. Kalina Chupetlovska, Amir Borhani, Anil Dasyam Dirk Van der Windt, and Amit D. Tevar declare no financial disclosure.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Chupetlovska, K.P., Borhani, A.A., Dasyam, A.K. et al. Post-operative imaging anatomy in liver transplantation. Abdom Radiol 46, 9–16 (2021). https://doi.org/10.1007/s00261-020-02440-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00261-020-02440-7