Techniques in Vascular & Interventional Radiology
Volume 10, Issue 3 , Pages 172-190, September 2007

Postliver Transplantation Vascular and Biliary Surgical Anatomy

  • Wael E.A. Saad, MBBCh

      Affiliations

    • Vascular Interventional Radiology Section, Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY.
    • Corresponding Author InformationAddress reprint requests to Wael E.A. Saad, MBBCh, Vascular Interventional Radiology Section, Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Ave, Box 648, Rochester, NY 14618.
  • ,
  • Mark C. Orloff, MD

      Affiliations

    • Division of Solid Organ Transplantation, Department of Surgery, University of Rochester Medical Center, Rochester, NY.
  • ,
  • Mark G. Davies, MD, PhD

      Affiliations

    • Division of Vascular Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NY.
  • ,
  • David L. Waldman, MD, PhD

      Affiliations

    • Vascular Interventional Radiology Section, Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY.
  • ,
  • Adel Bozorgzadeh, MD

      Affiliations

    • Division of Solid Organ Transplantation, Department of Surgery, University of Rochester Medical Center, Rochester, NY.

Imaging and management of postliver transplantation complications require an understanding of the surgical anatomy of liver transplantation. There are several methods of liver transplantation. Furthermore, liver transplantation is a complex surgery with numerous variables in its 4 anastomoses: (1) arterial anastomosis, (2) venous inflow (portal venous) anastomosis, (3) venous outflow (hepatic vein, inferior vena cava, or both) anastomosis, and (4) biliary/biliary-enteric anastomosis. The aim of this chapter is to introduce the principles of liver transplant surgical anatomy based on anastomotic anatomy. With radiologists as the target readers, the chapter focuses on the inflow and outflow connections and does not detail intricate surgical techniques or intraoperative maneuvers, operative stages, or vascular shunting.

Keywords: surgical anatomy, liver, transplanatation, anastomosis, graft

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PII: S1089-2516(07)00090-X

doi:10.1053/j.tvir.2007.09.013

Techniques in Vascular & Interventional Radiology
Volume 10, Issue 3 , Pages 172-190, September 2007