Use of right lobe graft with type IV portal vein accompanied by type IV biliary tree in living donor liver transplantation: Report of a case

Mahmoud Refaat Shehata, Dong-Sik Kim, Sung Won Jung, Young-Dong Yu, Sung Ock Suh

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Anatomic variations of the portal vein (PV) and bile duct (BD) are more common on the right lobe as compared with left lobe grafts in living donor liver transplantation (LDLT). We recently experienced a case of LDLT for hepatocellular carcinoma combined with liver cirrhosis secondary to hepatitis B virus and hepatitis C virus infection. The only available donor had right lobe graft with type IV PV associated with type IV BD. The patient underwent relaparotomy for PV stenting due to PV stenosis. Percutaneous transhepatic biliary drainage was done for a stricture at the site of biliary reconstruction. Thereafter, the patient was discharged in good health. Our experience suggests that, the use of right lobe graft with type IV PV accompanied by type IV BD should be the last choice for LDLT, because of its technical difficulty and risks of associated complications.

Original languageEnglish
Pages (from-to)331-333
Number of pages3
JournalAnnals of Surgical Treatment and Research
Issue number6
Publication statusPublished - 2014 Jan 1



  • Anastomosis
  • Postoperative complications
  • Roux-en-Y
  • Vascular complication

ASJC Scopus subject areas

  • Surgery

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