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Advantages of venous bypass during orthotopic transplantation of the liver.

Shaw, BW and Martin, DJ and Marquez, JM and Kang, YG and Bugbee, AC and Iwatsuki, S and Griffith, BP and Hardesty, RL and Bahnson, HT and Starzl, TE (1985) Advantages of venous bypass during orthotopic transplantation of the liver. Seminars in liver disease, 5 (4). 344 - 348. ISSN 0272-8087

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Abstract

Venous bypass restores normal hemodynamic physiology during the critical anhepatic phase of orthotopic transplantation of the liver. Its routine use in adults undergoing transplantation in Pittsburgh has resulted in lower operative blood losses, a lower frequency of postoperative renal failure, and a greater probability of survival for all but the highest risk patients. Because it allows for a longer anhepatic phase, the surgeon has the option of tailoring the native hepatectomy to the needs of the individual case, even to the point, in difficult cases, of obtaining most of the hemostasis after removal of the native liver, but before sewing in the donor organ. Selective use of bypass in children may offer similar advantages.

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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Shaw, BW
Martin, DJ
Marquez, JM
Kang, YG
Bugbee, AC
Iwatsuki, S
Griffith, BP
Hardesty, RL
Bahnson, HT
Starzl, TEtes11@pitt.eduTES11
Centers: Other Centers, Institutes, Offices, or Units > Thomas E. Starzl Transplantation Institute
Date: 1 January 1985
Date Type: Publication
Journal or Publication Title: Seminars in liver disease
Volume: 5
Number: 4
Page Range: 344 - 348
DOI or Unique Handle: 10.1055/s-2008-1040631
Institution: University of Pittsburgh
Refereed: Yes
ISSN: 0272-8087
Other ID: uls-drl:31735062115914, Starzl CV No. 626
Date Deposited: 08 Apr 2010 17:10
Last Modified: 02 Feb 2019 13:57
URI: http://d-scholarship.pitt.edu/id/eprint/4012

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