-transparent.png){kind=logo}
Reconstruction of Anomalous Portal Venous Branching in Right Lobe Living Donor Liver Transplantation: Malatya Approach. 2017
Sezai Yilmaz, and
Cuneyt Kayaalp, and
Burak Isik, and
Veysel Ersan, and
Emrah Otan, and
Sami Akbulut, and
Abuzer Dirican, and
Ramazan Kutlu, and
Aysegul Sagir Kahraman, and
Cengiz Ara, and
Mehmet Yilmaz, and
Bulent Unal, and
Cemalettin Aydin, and
Turgut Piskin, and
Dincer Ozgor, and
Mustafa Ates, and
Fatih Ozdemir, and
Volkan Ince, and
Cemalettin Koc, and
Adil Baskiran, and
Sait Murat Dogan, and
Bora Barut, and
Fatih Sumer, and
Serdar Karakas, and
Koray Kutluturk, and
Saim Yologlu, and
Harika Gozukara
Liver Transplantation Institute, Inonu University, Malatya, Turkey.
Reconstruction of anomalous portal vein branching (APVB) during right lobe living donor liver transplantation (LDLT) can be challenging. The goal of this article is to describe our surgical technique, named the Malatya Approach, in case of APVB during right lobe LDLT. The technique unifies the APVB and obtains a funnel-shaped common extension with a circumferential fence by a saphenous vein conduit. In total, 126 (10.6%) of 1192 right lobe grafts had APVB that were divided into 2 groups according to the adopted surgical techniques: the Malatya Approach group (n = 91) and the previously defined other techniques group (n = 35). Both groups were compared regarding portal vein thrombosis (PVT), postoperative 90-day mortality and survival. PVT developed in 3 patients (3.3%) in the Malatya Approach group and developed in 10 (28.6%) patients for the other group (P < 0.001). There were 8 (8.8%) 90-day mortalities in the Malatya Approach group (1 PVT related) and 15 patients (9 PVT related) died in the other techniques group (P < 0.001). Mean follow-up time for both groups was similar (999.1 days for the Malatya Approach group versus 1024.7 days for the other group; P = 0.47), but longterm survival in the Malatya Approach group was better than in the other group (84.6% versus 40%; P < 0.001). Multivariate analysis revealed that the Malatya Approach group showed less PVT development and longer survival (P < 0.001). This technique is promising to avoid PVT and mortalities in cases of APVB during right lobe LDLT. Liver Transplantation 23 751-761 2017 AASLD.
Related Publications
Sezai Yilmaz, and
Cuneyt Kayaalp, and
Burak Isik, and
Veysel Ersan, and
Emrah Otan, and
Sami Akbulut, and
Abuzer Dirican, and
Ramazan Kutlu, and
Aysegul Sagir Kahraman, and
Cengiz Ara, and
Mehmet Yilmaz, and
Bulent Unal, and
Cemalettin Aydin, and
Turgut Piskin, and
Dincer Ozgor, and
Mustafa Ates, and
Fatih Ozdemir, and
Volkan Ince, and
Cemalettin Koc, and
Adil Baskiran, and
Sait Murat Dogan, and
Bora Barut, and
Fatih Sumer, and
Serdar Karakas, and
Koray Kutluturk, and
Saim Yologlu, and
Harika Gozukara
November 2017,
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society,
Sezai Yilmaz, and
Cuneyt Kayaalp, and
Burak Isik, and
Veysel Ersan, and
Emrah Otan, and
Sami Akbulut, and
Abuzer Dirican, and
Ramazan Kutlu, and
Aysegul Sagir Kahraman, and
Cengiz Ara, and
Mehmet Yilmaz, and
Bulent Unal, and
Cemalettin Aydin, and
Turgut Piskin, and
Dincer Ozgor, and
Mustafa Ates, and
Fatih Ozdemir, and
Volkan Ince, and
Cemalettin Koc, and
Adil Baskiran, and
Sait Murat Dogan, and
Bora Barut, and
Fatih Sumer, and
Serdar Karakas, and
Koray Kutluturk, and
Saim Yologlu, and
Harika Gozukara
July 2007,
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society,
Sezai Yilmaz, and
Cuneyt Kayaalp, and
Burak Isik, and
Veysel Ersan, and
Emrah Otan, and
Sami Akbulut, and
Abuzer Dirican, and
Ramazan Kutlu, and
Aysegul Sagir Kahraman, and
Cengiz Ara, and
Mehmet Yilmaz, and
Bulent Unal, and
Cemalettin Aydin, and
Turgut Piskin, and
Dincer Ozgor, and
Mustafa Ates, and
Fatih Ozdemir, and
Volkan Ince, and
Cemalettin Koc, and
Adil Baskiran, and
Sait Murat Dogan, and
Bora Barut, and
Fatih Sumer, and
Serdar Karakas, and
Koray Kutluturk, and
Saim Yologlu, and
Harika Gozukara
February 2008,
Zhonghua wai ke za zhi [Chinese journal of surgery],
Sezai Yilmaz, and
Cuneyt Kayaalp, and
Burak Isik, and
Veysel Ersan, and
Emrah Otan, and
Sami Akbulut, and
Abuzer Dirican, and
Ramazan Kutlu, and
Aysegul Sagir Kahraman, and
Cengiz Ara, and
Mehmet Yilmaz, and
Bulent Unal, and
Cemalettin Aydin, and
Turgut Piskin, and
Dincer Ozgor, and
Mustafa Ates, and
Fatih Ozdemir, and
Volkan Ince, and
Cemalettin Koc, and
Adil Baskiran, and
Sait Murat Dogan, and
Bora Barut, and
Fatih Sumer, and
Serdar Karakas, and
Koray Kutluturk, and
Saim Yologlu, and
Harika Gozukara
June 2008,
Transplantation proceedings,
Sezai Yilmaz, and
Cuneyt Kayaalp, and
Burak Isik, and
Veysel Ersan, and
Emrah Otan, and
Sami Akbulut, and
Abuzer Dirican, and
Ramazan Kutlu, and
Aysegul Sagir Kahraman, and
Cengiz Ara, and
Mehmet Yilmaz, and
Bulent Unal, and
Cemalettin Aydin, and
Turgut Piskin, and
Dincer Ozgor, and
Mustafa Ates, and
Fatih Ozdemir, and
Volkan Ince, and
Cemalettin Koc, and
Adil Baskiran, and
Sait Murat Dogan, and
Bora Barut, and
Fatih Sumer, and
Serdar Karakas, and
Koray Kutluturk, and
Saim Yologlu, and
Harika Gozukara
January 2002,
Journal of the American College of Surgeons,
Sezai Yilmaz, and
Cuneyt Kayaalp, and
Burak Isik, and
Veysel Ersan, and
Emrah Otan, and
Sami Akbulut, and
Abuzer Dirican, and
Ramazan Kutlu, and
Aysegul Sagir Kahraman, and
Cengiz Ara, and
Mehmet Yilmaz, and
Bulent Unal, and
Cemalettin Aydin, and
Turgut Piskin, and
Dincer Ozgor, and
Mustafa Ates, and
Fatih Ozdemir, and
Volkan Ince, and
Cemalettin Koc, and
Adil Baskiran, and
Sait Murat Dogan, and
Bora Barut, and
Fatih Sumer, and
Serdar Karakas, and
Koray Kutluturk, and
Saim Yologlu, and
Harika Gozukara
November 2018,
Transplantation proceedings,
Sezai Yilmaz, and
Cuneyt Kayaalp, and
Burak Isik, and
Veysel Ersan, and
Emrah Otan, and
Sami Akbulut, and
Abuzer Dirican, and
Ramazan Kutlu, and
Aysegul Sagir Kahraman, and
Cengiz Ara, and
Mehmet Yilmaz, and
Bulent Unal, and
Cemalettin Aydin, and
Turgut Piskin, and
Dincer Ozgor, and
Mustafa Ates, and
Fatih Ozdemir, and
Volkan Ince, and
Cemalettin Koc, and
Adil Baskiran, and
Sait Murat Dogan, and
Bora Barut, and
Fatih Sumer, and
Serdar Karakas, and
Koray Kutluturk, and
Saim Yologlu, and
Harika Gozukara
August 2001,
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society,
Sezai Yilmaz, and
Cuneyt Kayaalp, and
Burak Isik, and
Veysel Ersan, and
Emrah Otan, and
Sami Akbulut, and
Abuzer Dirican, and
Ramazan Kutlu, and
Aysegul Sagir Kahraman, and
Cengiz Ara, and
Mehmet Yilmaz, and
Bulent Unal, and
Cemalettin Aydin, and
Turgut Piskin, and
Dincer Ozgor, and
Mustafa Ates, and
Fatih Ozdemir, and
Volkan Ince, and
Cemalettin Koc, and
Adil Baskiran, and
Sait Murat Dogan, and
Bora Barut, and
Fatih Sumer, and
Serdar Karakas, and
Koray Kutluturk, and
Saim Yologlu, and
Harika Gozukara
September 2002,
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society,
Sezai Yilmaz, and
Cuneyt Kayaalp, and
Burak Isik, and
Veysel Ersan, and
Emrah Otan, and
Sami Akbulut, and
Abuzer Dirican, and
Ramazan Kutlu, and
Aysegul Sagir Kahraman, and
Cengiz Ara, and
Mehmet Yilmaz, and
Bulent Unal, and
Cemalettin Aydin, and
Turgut Piskin, and
Dincer Ozgor, and
Mustafa Ates, and
Fatih Ozdemir, and
Volkan Ince, and
Cemalettin Koc, and
Adil Baskiran, and
Sait Murat Dogan, and
Bora Barut, and
Fatih Sumer, and
Serdar Karakas, and
Koray Kutluturk, and
Saim Yologlu, and
Harika Gozukara
October 2008,
Hepatology research : the official journal of the Japan Society of Hepatology,
Sezai Yilmaz, and
Cuneyt Kayaalp, and
Burak Isik, and
Veysel Ersan, and
Emrah Otan, and
Sami Akbulut, and
Abuzer Dirican, and
Ramazan Kutlu, and
Aysegul Sagir Kahraman, and
Cengiz Ara, and
Mehmet Yilmaz, and
Bulent Unal, and
Cemalettin Aydin, and
Turgut Piskin, and
Dincer Ozgor, and
Mustafa Ates, and
Fatih Ozdemir, and
Volkan Ince, and
Cemalettin Koc, and
Adil Baskiran, and
Sait Murat Dogan, and
Bora Barut, and
Fatih Sumer, and
Serdar Karakas, and
Koray Kutluturk, and
Saim Yologlu, and
Harika Gozukara
June 2001,
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society,
