Moscow, Russia

1
Living donors right hepatic lobe implantation
in recipients with Budd-Chiari syndrome Serguei
Gautier Michael Kaabak Andrey Filin Olga
Tsiroulnikova July Kamalov
Moscow, Russia
National Research Center of Surgery
2
Living Donor Liver Transplantation
(March 1997 May 2005)
Total
118
101
Right graft 1
simult. with kidney
15
2
Left lateral graft
Left graft
3
Living Donor Liver Transplantation. Right Lobe.

Totally 101
Adults 63 (17 62 years) Children 38 (5
16 years)
Body Mass 15 95
(mean 48.9 3.0) kg.
Results Donors complete recovery professional

rehabilitation Recipients and
grafts early survival 97.03
1-year survival
92.86
4
Living Donor Liver Transplantation. Right Lobe.

Totally 101
5 males 9 31 years
Autoimmune hepatitis


PSC
PBC
Other
10
11
7
Budd-Chiari syndrome
8
4
Bylers disease
Carolis disease
4
4
Alfa-1-antitripsine deficiency
12
Viral hepatitis
36
Wilsons disease
5
Budd-Chiari Syndrome
n 5
Intracaval membrane - 2 Sclerotic malformation
of the wall - 3
6
Right Lobe LDLT for Budd-Chiari Syndrome
Inferior Caval Vein Sclerotic Malformation of
the Wall
constricted lumen of ICV
7
Right Lobe LDLT for Budd-Chiari Syndrome
Hepatico-caval Reconstruction after Excision of
Sclerotic Area of the Caval Wall
n 2
a. hepatica
v. portae
v. hepatica
8
Right Lobe LDLT for Budd-Chiari Syndrome
Decompression of Inferior Caval Vein after
Hepatico-caval Reconstruction
n 1
CT-reconstruction after 11 months
9
Right Lobe LDLT for Budd-Chiari Syndrome
Postoperative Course
v. hepatica
v. hepatica
ICV
ICV
Results Normal outflow from grafts normal liver
function No signs of ICV-syndrome Follow-up 10
92 mo.
10
Right Lobe LDLT for Budd-Chiari Syndrome
Long-term Results
7.5 years after LDLT
The first right graft. November
1997. (Budd-Chiari syndrome and liver cirrhosis
in 9 years old boy)