127769

INSITU LIVER AUTOTRANSPLANTATION IN DOGS WITHOUT VENOVENOUS BYPASS, NOVEL TECHNIQUE FOR TRAINING ON LIVER TRANSPLANTATION

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Last updated: 04 Jan 2025

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Abstract

Introduction : Living-related liver transplantation is gaining increasing acceptance in Egypt and is the only available liver transplantation tech­nique as cadaveric grafts are not ap­proved by law. However it needs high surgical skills regarding hepatic sur­gery, micro vascular anastomosis & training on small biliary anastomosis.
Aim : Provide surgical team re­sponsible for living-related liver trans­plantation with frequent training on a model very similar to that in human. The aim is to acquire the required sur­gical skills.
Methodology: This technique was done in 9 adult mongrel dogs of both
sexes weighing between 8.5-15 kg, in experimental animal house in Urology nephrology center. General anesthe­sia is used in all dogs with intubation. Through midline incision and insertion of ring retractor, dissection of hepatic artery, portal vein, common bile duct and hepatic veins is done with preser­vation of IVC and isolated dissection of LHV and RHV. Division of HA, PV. CBD is then carried out followed by -clamping RHV & LHV and anterior ve-notomy of LHV. Infusion of PV with cold ringer's solution at 4 C~ with drainage from LHV venotomy. Rea-nastomosis of HA, PV, CBD & closure of venotomy is done at the end with revascularization of the graft. Wedge liver biopsy was taken before portal clamping, at 30 min ischemia, after

DOI

10.21608/mjmu.2005.127769

Authors

First Name

Mohamed

Last Name

El-Shobari

MiddleName

-

Affiliation

Gastroenterology Surgical Center, Mansoura university. Mansoura. Egypt

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Orcid

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First Name

Ayman

Last Name

Talaat

MiddleName

-

Affiliation

Gastroenterology Surgical Center, Mansoura university. Mansoura. Egypt

Email

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City

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Orcid

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First Name

Eman

Last Name

Noor

MiddleName

-

Affiliation

Urology & nephrology Center, Mansoura University. Mansoura, Egypt

Email

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City

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Orcid

-

First Name

Mohsen

Last Name

Khalil

MiddleName

-

Affiliation

Urology & nephrology Center, Mansoura University. Mansoura, Egypt

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City

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Orcid

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First Name

Khaled

Last Name

Zalata K

MiddleName

-

Affiliation

Pathology Department, Mansoura Faculty OF Medicine

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Volume

34

Article Issue

1

Related Issue

19045

Issue Date

2005-04-01

Receive Date

2020-12-06

Publish Date

2005-04-01

Page Start

151

Page End

161

Print ISSN

1110-211X

Online ISSN

2735-3990

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https://mjmu.journals.ekb.eg/article_127769.html

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https://mjmu.journals.ekb.eg/service?article_code=127769

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Research (original) articles

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1,453

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Journal

Publication Title

Mansoura Medical Journal

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https://mjmu.journals.ekb.eg/

MainTitle

INSITU LIVER AUTOTRANSPLANTATION IN DOGS WITHOUT VENOVENOUS BYPASS, NOVEL TECHNIQUE FOR TRAINING ON LIVER TRANSPLANTATION

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Article

Created At

23 Jan 2023