{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:37:23Z","timestamp":1705624643376},"reference-count":10,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,6,10]],"date-time":"2014-06-10T00:00:00Z","timestamp":1402358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Abstract\u2003<\/jats:title><jats:p>We performed living donor liver transplantation (<jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content>) in a patient who had undergone distal gastrectomy for gastric ulcer disease with <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>illroth <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content> reconstruction 30 years before the <jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content>. The adhesion was very severe between remnant stomach and hepatic hilum as well as left liver lobe with shortening of hepatoduodenal structures. After dissection of the infrahepatic inferior vena cava, the <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>piegel lobe was identified from the dorsal side. The <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>piegel lobe was then penetrated with a right angle dissector so that a plastic tape could be placed around the whole adhesion, including important structures in the hepatoduodenal ligament. Next, the right hepatic vein was transected with a vascular stapler using <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>ringle's maneuver using the plastic tape to fasten the entire adhesional structure. Subsequently, the trunk of the middle and left hepatic vein was transected after clamping. The remaining short hepatic veins in the left side were divided completely from the cranial to the caudal direction to dissect Spiegel's lobe. Finally, the hepatoduodenal ligament was identified from the attached remnant stomach and the duodenum and a vascular clamp was placed on the entire hepatoduaodenal ligament. Finally, the diseased liver was explanted for graft implantation. Thus, retrograde explantation of the liver was effective in decreasing the risk of damaging vital elements in the hepatoduodenal ligament, the remnant stomach, and the duodenum.<\/jats:p>","DOI":"10.1002\/jhbp.120","type":"journal-article","created":{"date-parts":[[2014,6,10]],"date-time":"2014-06-10T09:47:00Z","timestamp":1402393620000},"source":"Crossref","is-referenced-by-count":5,"title":["How to explant a diseased liver for living donor liver transplantation after previous gastrectomy with severe adhesion (with video)"],"prefix":"10.1002","volume":"21","author":[{"given":"Susumu","family":"Eguchi","sequence":"first","affiliation":[{"name":"Department of Surgery Nagasaki University Graduate School of Biomedical Sciences  1\u20107\u20101 Sakamoto Nagasaki 852\u20108501 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiko","family":"Soyama","sequence":"additional","affiliation":[{"name":"Department of Surgery Nagasaki University Graduate School of Biomedical Sciences  1\u20107\u20101 Sakamoto Nagasaki 852\u20108501 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsuhisa","family":"Takatsuki","sequence":"additional","affiliation":[{"name":"Department of Surgery Nagasaki University Graduate School of Biomedical Sciences  1\u20107\u20101 Sakamoto Nagasaki 852\u20108501 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaaki","family":"Hidaka","sequence":"additional","affiliation":[{"name":"Department of Surgery Nagasaki University Graduate School of Biomedical Sciences  1\u20107\u20101 Sakamoto Nagasaki 852\u20108501 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomohiko","family":"Adachi","sequence":"additional","affiliation":[{"name":"Department of Surgery Nagasaki University Graduate School of Biomedical Sciences  1\u20107\u20101 Sakamoto Nagasaki 852\u20108501 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amane","family":"Kitasato","sequence":"additional","affiliation":[{"name":"Department of Surgery Nagasaki University Graduate School of Biomedical Sciences  1\u20107\u20101 Sakamoto Nagasaki 852\u20108501 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhassulan","family":"Baimakhanov","sequence":"additional","affiliation":[{"name":"Department of Surgery Nagasaki University Graduate School of Biomedical Sciences  1\u20107\u20101 Sakamoto Nagasaki 852\u20108501 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamotsu","family":"Kuroki","sequence":"additional","affiliation":[{"name":"Department of Surgery Nagasaki University Graduate School of Biomedical Sciences  1\u20107\u20101 Sakamoto Nagasaki 852\u20108501 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