{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T16:33:27Z","timestamp":1703349207597},"reference-count":24,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,10,18]],"date-time":"2016-10-18T00:00:00Z","timestamp":1476748800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A temporary portocaval shunt (<jats:styled-content style=\"fixed-case\">TPCS<\/jats:styled-content>) associated with retrohepatic vena cava preservation prevents the edema caused by splanchnic congestion during liver transplantation (<jats:styled-content style=\"fixed-case\">LT<\/jats:styled-content>), especially for non\u2010cirrhotic cases. We herein report a modified <jats:styled-content style=\"fixed-case\">TPCS<\/jats:styled-content> technique using the recanalized umbilical vein and an end\u2010to\u2010side recanalized umbilico\u2010caval anastomosis for use during pediatric living donor liver transplantation (<jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content>). This work evaluated a group of pediatric patients who underwent <jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content> between 2001 and 2014 with the conventional <jats:styled-content style=\"fixed-case\">TPCS<\/jats:styled-content> (n=16) vs the recanalized umbilico\u2010caval shunt (the crossed fingers method, n=10). The crossed fingers method was performed by suturing an end\u2010to\u2010side anastomosis of the patent or recanalized umbilical vein to the vena cava using a continuous monofilament suture like \u201ccrossing the fingers,\u201d that is, placing the left portal vein across the portal vein trunk next to it. The preoperative, surgical, and postoperative characteristics were similar in both groups except for the significantly shorter portal vein clamping time for the crossed fingers method. This method can allow the portal circulation to be totally decompressed before and after implanting the graft and while maintaining the hemodynamic stability throughout all stages of pediatric <jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content>.<\/jats:p>","DOI":"10.1111\/ctr.12835","type":"journal-article","created":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T06:56:58Z","timestamp":1472713018000},"page":"1425-1432","source":"Crossref","is-referenced-by-count":2,"title":["Recanalized umbilico\u2010caval anastomosis as a temporary portosystemic shunt in pediatric living donor liver transplantation: the crossed fingers method"],"prefix":"10.1111","volume":"30","author":[{"given":"Taizen","family":"Urahashi","sequence":"first","affiliation":[{"name":"Department of Transplant Surgery Jichi Medical University Tochigi 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