{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T05:49:31Z","timestamp":1761630571562,"version":"3.33.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2011,6,1]],"date-time":"2011-06-01T00:00:00Z","timestamp":1306886400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2011,5,26]],"date-time":"2011-05-26T00:00:00Z","timestamp":1306368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2011,6]]},"abstract":"<jats:sec>\n            <jats:title\/>\n            <jats:p>Right-side rotation of the graft is an uncommon event after pediatric living donor liver transplantation (LDLT) with a left-sided graft. However, graft rotation might lead to gradual portal vein (PV) stretching and late portal vein complications (PVCs). The goal of this study was to quantify the degree of graft rotation (<jats:italic toggle=\"yes\">R<\/jats:italic>) by computed tomography (CT) and to determine the effect of graft rotation on the development of late PVCs. One hundred ten patients underwent LDLT with left-sided grafts between 1996 and 2009; CT images were available and were reviewed for 66 of these patients. To quantify <jats:italic toggle=\"yes\">R<\/jats:italic>, the following variables were measured with CT: the longest distance between the midline and the extrahepatic PV at the level of the hepatic hilum (<jats:italic toggle=\"yes\">A<\/jats:italic>), the distance between the midline and the center of the superior mesenteric vein at the level of the confluence of the splenic vein and superior mesenteric vein (<jats:italic toggle=\"yes\">B<\/jats:italic>), and the inner transverse diameter of the body cavity at the level at which <jats:italic toggle=\"yes\">A<\/jats:italic> was measured (<jats:italic toggle=\"yes\">C<\/jats:italic>). <jats:italic toggle=\"yes\">R<\/jats:italic> was calculated as (<jats:italic toggle=\"yes\">A<\/jats:italic> \u2212 <jats:italic toggle=\"yes\">B<\/jats:italic>)\/<jats:italic toggle=\"yes\">C<\/jats:italic>. In patients with a patent PV (n = 59) and in patients with late PVCs (n = 7), the median <jats:italic toggle=\"yes\">R<\/jats:italic> values were 0.16 (range = 0.03-0.38) and 0.25 (range = 0.13-0.39), respectively; there was a significant difference between the 2 groups (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.003). Multivariate analysis showed that <jats:italic toggle=\"yes\">R<\/jats:italic> \u2265 0.2 was the only independent risk factor for the development of late PVCs (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.021). In conclusion, the gradual stretching of the PV after right-side rotation of left-sided grafts might play an important role in the development of late PVCs. PV patency should be closely monitored when graft rotation is noted during clinical follow-up. Liver Transpl 17:717-722, 2011. \u00a9 2011 AASLD.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1002\/lt.22262","type":"journal-article","created":{"date-parts":[[2011,1,14]],"date-time":"2011-01-14T16:32:20Z","timestamp":1295022740000},"page":"717-722","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":15,"title":["Graft rotation and late portal vein complications in pediatric living donor liver transplantation using left-sided grafts: Long-term computed tomography observations"],"prefix":"10.1097","volume":"17","author":[{"given":"Suk-Bae","family":"Moon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ju-Ik","family":"Moon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Choon-Hyuk David","family":"Kwon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung-Joo","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeong-Meen","family":"Seo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae-Won","family":"Joh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suk-Koo","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-14-20250124","doi-asserted-by":"crossref","first-page":"404414","DOI":"10.1097\/00000658-198704000-00011","article-title":"Complications of venous reconstruction in human orthotopic liver transplantation.","volume":"205","author":"Lerut","year":"1987","journal-title":"Ann 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