{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T04:32:06Z","timestamp":1772598726328,"version":"3.50.1"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","license":[{"start":{"date-parts":[[2013,11,1]],"date-time":"2013-11-01T00:00:00Z","timestamp":1383264000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2013,9,14]],"date-time":"2013-09-14T00:00:00Z","timestamp":1379116800000},"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":[[2013,11]]},"abstract":"<jats:sec>\n            <jats:title\/>\n            <jats:p>Although the round ligament, including the umbilical vein, could be used as a venous graft in living donor liver transplantation (LDLT), no studies have determined its appropriate use on the basis of pathological findings. We prospectively examined 19 LDLT cases in which the donor's round ligament was procured and used as a venous graft. The round ligaments were categorized into 3 types based on the CD31 immunohistochemistry of tissue cross-sections: (I) canalized umbilical veins (n = 7 or 36.8%), (II) capillary umbilical vessels (n = 4 or 21.1%), and (III) occluded umbilical veins (n = 8 or 42.1%). After dilatation and incision, the round ligaments provided patch grafts that were 5.8 \u00b1 0.4 cm long and 1.8 \u00b1 1.2 cm wide. However, histological studies showed the absence of fine intimal layers on the dilated round ligaments after mechanical maneuvers. The ligaments were used to cuff the venous orifices in 15 patients (left lobe, n = 8; right lobe, n = 7) and were used as venous bridges in 4 patients (left lobe, n = 2; right lobe, n = 2). We detected no thrombosis at the implant sites after LDLT. Our pathological findings indicate that opened round ligaments can be used safely as venous patch grafts in LDLT. <jats:italic toggle=\"yes\">Liver Transpl 19:1245\u20131251, 2013<\/jats:italic>. \u00a9 2013 AASLD.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1002\/lt.23716","type":"journal-article","created":{"date-parts":[[2013,7,25]],"date-time":"2013-07-25T22:08:35Z","timestamp":1374790115000},"page":"1245-1251","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":19,"title":["Pathological analysis of opened round ligaments as venous patch grafts in living donor liver transplantation"],"prefix":"10.1097","volume":"19","author":[{"given":"Toru","family":"Ikegami","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huanlin","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Imai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Bekki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoharu","family":"Yoshizumi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yo-Ichi","family":"Yamashita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeo","family":"Toshima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuji","family":"Soejima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Shirabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihiko","family":"Maehara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-9-20250124","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1097\/01.SLA.0000048444.40498.AD","article-title":"Vein reconstruction in modified right liver graft for living donor liver transplantation.","volume":"237","author":"Sugawara","year":"2003","journal-title":"Ann Surg"},{"issue":"suppl","key":"R2-9-20250124","doi-asserted-by":"crossref","first-page":"S25","DOI":"10.1097\/01.TP.0000046618.44722.BE","article-title":"Right anterior sector drainage in right-lobe live-donor liver transplantation.","volume":"75","author":"Fan","year":"2003","journal-title":"Transplantation"},{"key":"R3-9-20250124","first-page":"94","article-title":"Meso-systemic shunt for middle hepatic vein reconstruction in right lobe living donor liver transplantation.","volume":"21","author":"Ikegami","year":"2008","journal-title":"Transpl Int"},{"key":"R4-9-20250124","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1097\/01.tp.0000296483.89112.4c","article-title":"Explanted portal vein grafts for middle hepatic vein tributaries in living-donor liver 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obstruction.","volume":"145","author":"Facciuto","year":"2009","journal-title":"Surgery"},{"key":"R8-9-20250124","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1007\/s00534-007-1319-1","article-title":"Beneficial use of the round ligament as a patch graft for vena cava reconstruction.","volume":"15","author":"Ikegami","year":"2008","journal-title":"J Hepatobiliary Pancreat Surg"},{"key":"R9-9-20250124","first-page":"64","article-title":"Comparative decades of experience with glutaraldehyde-tanned human umbilical cord vein graft for lower limb revascularization: an analysis of 1275 cases.","volume":"35","author":"Dardik","year":"2002","journal-title":"J Vasc Surg"},{"key":"R10-9-20250124","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1016\/j.surg.2005.08.005","article-title":"Reconstruction of the middle hepatic vein tributaries using the recipient's recanalized umbilical vein in right-lobe living-donor liver transplantation.","volume":"139","author":"Soejima","year":"2006","journal-title":"Surgery"},{"key":"R11-9-20250124","doi-asserted-by":"crossref","first-page":"1886","DOI":"10.1111\/j.1600-6143.2012.04052.x","article-title":"Primary graft dysfunction after living donor liver transplantation is characterized by delayed functional hyperbilirubinemia.","volume":"12","author":"Ikegami","year":"2012","journal-title":"Am J Transplant"},{"key":"R12-9-20250124","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/j.jamcollsurg.2010.04.018","article-title":"Living donor hepatectomies with procedures to prevent biliary complications.","volume":"211","author":"Taketomi","year":"2010","journal-title":"J Am Coll Surg"},{"key":"R13-9-20250124","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/j.jamcollsurg.2012.11.011","article-title":"Strategies for successful left-lobe living donor liver transplantation in 250 consecutive adult cases in a single 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