{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T12:07:22Z","timestamp":1784290042216,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,4,1]],"date-time":"2018-04-01T00:00:00Z","timestamp":1522540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007786","name":"National Center for Child Health and Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007786","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">HVOO<\/jats:styled-content> can be a critical complication in pediatric <jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content>. The aim of this study was to evaluate a modified triangular technique of hepatic vein reconstruction for preventing <jats:styled-content style=\"fixed-case\">HVOO<\/jats:styled-content> in pediatric <jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content>. A total of 298 pediatric <jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content>s were performed using a left lateral segment graft by 2 methods for reconstruction of the hepatic vein. In 177 recipients, slit\u2010shaped anastomosis was indicated with partial clamp of the <jats:styled-content style=\"fixed-case\">IVC<\/jats:styled-content>. A total of 121 recipients subjected to the modified triangular anastomosis with total clamp of the <jats:styled-content style=\"fixed-case\">IVC<\/jats:styled-content>. We compared the incidence of hepatic vein anastomotic complications between these 2 methods. Nine of the 177 cases (5.3%) treated with the conventional technique were diagnosed with outflow obstruction. All 9 cases underwent hepatic vein reconstruction with the slit\u2010shaped hepatic vein anastomosis. In contrast, there were no cases of outflow obstruction in the 121 cases treated with the modified triangular anastomosis. The modified triangular technique of hepatic vein reconstruction with total clamping of the <jats:styled-content style=\"fixed-case\">IVC<\/jats:styled-content> was useful for preventing <jats:styled-content style=\"fixed-case\">HVOO<\/jats:styled-content> in pediatric <jats:styled-content style=\"fixed-case\">LDLT<\/jats:styled-content>.<\/jats:p>","DOI":"10.1111\/petr.13167","type":"journal-article","created":{"date-parts":[[2018,2,27]],"date-time":"2018-02-27T05:26:44Z","timestamp":1519709204000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Modified triangular hepatic vein reconstruction for preventing hepatic venous outflow obstruction in pediatric living donor liver transplantation using left lateral segment grafts"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4684-0446","authenticated-orcid":false,"given":"Akinari","family":"Fukuda","sequence":"first","affiliation":[{"name":"Transplantation Center National Center for Child Health and Development  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seisuke","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Transplantation Center National Center for Child Health and Development  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kengo","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Transplantation Center National Center for Child Health and Development  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8729-9380","authenticated-orcid":false,"given":"Soichi","family":"Narumoto","sequence":"additional","affiliation":[{"name":"Transplantation Center National 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