Since the first living donor liver transplantation (LDLT) was performed by Raia
and colleagues in December 1988, LDLT has become the gold standard treatment
in countries where cadaveric organ donation is not sufficient. Adequate hepatic
venous outflow reconstruction in LDLT is essential to prevent graft congestion
and its complications including graft loss. However, this can be complex and
technically demanding especially in the presence of complex variations and
congenital anomalies in the graft hepatic veins.
Herein, we aimed to present two cases who underwent successful right lobe
LDLT using a right lobe liver graft with rudimentary or congenital absence of the
right hepatic vein and describe the utility of a common large opening drainage
model in such complex cases.
Thanks to this venous reconstruction model, none of the patients developed
postoperative complications related to venous drainage. Our experience with
venous drainage reconstruction models shows that congenital variations in the
hepatic venous structure of living liver donors are not absolute contraindications