Advantages of venous bypass during orthotopic transplantation of the liver.

Byers Wendell Shaw Jr, D. J. Martin, J. M. Marquez, Y. G. Kang, A. C. Bugbee, S. Iwatsuki, B. P. Griffith, R. L. Hardesty, H. T. Bahnson, T. E. Starzl

Research output: Contribution to journalArticle

54 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)344-348
Number of pages5
JournalSeminars in liver disease
Volume5
Issue number4
DOIs
StatePublished - Jan 1 1985

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Hepatectomy
Hemostasis
Liver Transplantation
Renal Insufficiency
Transplantation
Hemodynamics
Tissue Donors
Survival
Liver
Surgeons

ASJC Scopus subject areas

  • Hepatology

Cite this

Shaw Jr, B. W., Martin, D. J., Marquez, J. M., Kang, Y. G., Bugbee, A. C., Iwatsuki, S., ... Starzl, T. E. (1985). Advantages of venous bypass during orthotopic transplantation of the liver. Seminars in liver disease, 5(4), 344-348. https://doi.org/10.1055/s-2008-1040631

Advantages of venous bypass during orthotopic transplantation of the liver. / Shaw Jr, Byers Wendell; Martin, D. J.; Marquez, J. M.; Kang, Y. G.; Bugbee, A. C.; Iwatsuki, S.; Griffith, B. P.; Hardesty, R. L.; Bahnson, H. T.; Starzl, T. E.

In: Seminars in liver disease, Vol. 5, No. 4, 01.01.1985, p. 344-348.

Research output: Contribution to journalArticle

Shaw Jr, BW, Martin, DJ, Marquez, JM, Kang, YG, Bugbee, AC, Iwatsuki, S, Griffith, BP, Hardesty, RL, Bahnson, HT & Starzl, TE 1985, 'Advantages of venous bypass during orthotopic transplantation of the liver.', Seminars in liver disease, vol. 5, no. 4, pp. 344-348. https://doi.org/10.1055/s-2008-1040631
Shaw Jr BW, Martin DJ, Marquez JM, Kang YG, Bugbee AC, Iwatsuki S et al. Advantages of venous bypass during orthotopic transplantation of the liver. Seminars in liver disease. 1985 Jan 1;5(4):344-348. https://doi.org/10.1055/s-2008-1040631
Shaw Jr, Byers Wendell ; Martin, D. J. ; Marquez, J. M. ; Kang, Y. G. ; Bugbee, A. C. ; Iwatsuki, S. ; Griffith, B. P. ; Hardesty, R. L. ; Bahnson, H. T. ; Starzl, T. E. / Advantages of venous bypass during orthotopic transplantation of the liver. In: Seminars in liver disease. 1985 ; Vol. 5, No. 4. pp. 344-348.
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