Routine use of the piggyback technique in pediatric orthotopic liver transplantation

Jose Nery, James Jacque, Debbie Weppler, Jose Casella, Carlos Luque, Alex Siquijor, John F. Thompson, Philip Ruiz, Farrukh Khan, Marc Webb, Andreas Tzakis

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

The theoretical advantages of the piggyback technique over conventional orthotopic liver transplantation are as follows. (1) Continuous venous decompression during the anhepatic phase is provided without venovenous bypass. (2) Warm ischemia time can be shortened because there is no need for the infrahepatic vena cava anastomosis. The following report is a review of the authors' experience with this method in children during the past year at their institution. Analyses of intraoperative hemodynamics and blood loss, postoperative renal function, patient and graft survival, and length of hospital stay have shown excellent results. There were no intraoperative deaths, and causes of death and graft loss were not related to the technique. The authors conclude that children who undergo liver transplantation can be very satisfactorily managed with the piggyback operation, and this technique may be more advantageous than the conventional method.

Original languageEnglish (US)
Pages (from-to)1644-1647
Number of pages4
JournalJournal of Pediatric Surgery
Volume31
Issue number12
DOIs
StatePublished - Dec 1996
Externally publishedYes

Fingerprint

Liver Transplantation
Length of Stay
Pediatrics
Warm Ischemia
Postoperative Hemorrhage
Venae Cavae
Graft Survival
Decompression
Cause of Death
Hemodynamics
Transplants
Kidney

Keywords

  • Liver transplantation
  • piggyback
  • venovenous bypass

ASJC Scopus subject areas

  • Surgery

Cite this

Nery, J., Jacque, J., Weppler, D., Casella, J., Luque, C., Siquijor, A., ... Tzakis, A. (1996). Routine use of the piggyback technique in pediatric orthotopic liver transplantation. Journal of Pediatric Surgery, 31(12), 1644-1647. https://doi.org/10.1016/S0022-3468(96)90038-X

Routine use of the piggyback technique in pediatric orthotopic liver transplantation. / Nery, Jose; Jacque, James; Weppler, Debbie; Casella, Jose; Luque, Carlos; Siquijor, Alex; Thompson, John F.; Ruiz, Philip; Khan, Farrukh; Webb, Marc; Tzakis, Andreas.

In: Journal of Pediatric Surgery, Vol. 31, No. 12, 12.1996, p. 1644-1647.

Research output: Contribution to journalArticle

Nery, J, Jacque, J, Weppler, D, Casella, J, Luque, C, Siquijor, A, Thompson, JF, Ruiz, P, Khan, F, Webb, M & Tzakis, A 1996, 'Routine use of the piggyback technique in pediatric orthotopic liver transplantation', Journal of Pediatric Surgery, vol. 31, no. 12, pp. 1644-1647. https://doi.org/10.1016/S0022-3468(96)90038-X
Nery, Jose ; Jacque, James ; Weppler, Debbie ; Casella, Jose ; Luque, Carlos ; Siquijor, Alex ; Thompson, John F. ; Ruiz, Philip ; Khan, Farrukh ; Webb, Marc ; Tzakis, Andreas. / Routine use of the piggyback technique in pediatric orthotopic liver transplantation. In: Journal of Pediatric Surgery. 1996 ; Vol. 31, No. 12. pp. 1644-1647.
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