TY - CHAP M1 - Book, Section TI - Temporary Intraoperative Portocaval Shunt in Piggyback Liver Transplantation A1 - Fuente, Ignacio A1 - Santos, Fanny Rodriguez A1 - de Santibañes, Martin A2 - Molmenti, Ernesto Pompeo A2 - Santibañes, Martin de A2 - Santibañes, Eduardo de PY - 2021 T2 - Liver Transplantation: Operative Techniques and Medical Management AB - Orthotopic liver transplant (OLT) is an operation that involves recipient hepatectomy with resection of the inferior vena cava (IVC) from above the renal veins to the diaphragm. After removing the diseased recipient liver, the donor liver is placed in the recipient and 4 main vascular anastomoses are performed in addition to the restoration of continuity of the bile duct. Interruption of caval flow during the anhepatic phase results in a reduction in venous return to the heart and a decrease in renal perfusion, as well as splanchnic hyperemia secondary to portal clamping. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1180112851 ER -