Complex Reconstruction of Right-Lobe Grafts on the Bench: Portal Vein, Anterior Sector Hepatic Veins, Inferior Hepatic Veins and Multiple Bile Ducts

Ankur A Gupta; Arvinder S Soin

doi:10.1016/j.jceh.2024.102411

Complex Reconstruction of Right-Lobe Grafts on the Bench: Portal Vein, Anterior Sector Hepatic Veins, Inferior Hepatic Veins and Multiple Bile Ducts

J Clin Exp Hepatol. 2025 Jan-Feb;15(1):102411. doi: 10.1016/j.jceh.2024.102411. Epub 2024 Sep 14.

Authors

Ankur A Gupta¹, Arvinder S Soin¹

Affiliation

¹ Institute of Liver Transplantation and Regenerative Medicine, Medanta the Medicity, Gurugram, India.

PMID: 39473448
PMCID: PMC11513800 (available on 2026-01-01)
DOI: 10.1016/j.jceh.2024.102411

Abstract

Living donor liver transplantation (LDLT) employing right-lobe (RL) grafts has become indispensable amid limited deceased donor graft availability. RL grafts, while smaller, offer outcomes comparable with deceased donor grafts, prompting a surge in global RL LDLT. However, bench surgery in LDLT requires meticulous preparation to minimize warm ischaemia time and ensure optimal inflow and outflow reconstruction. This review combines an analysis of existing literature with a discussion of our technique, emphasizing the intricacies of RL graft bench reconstruction.

Keywords: back table surgery; bench surgery; living donor liver transplantation; right lobe graft.

Publication types

Review