Liver transplant

Indications

 

 

Procedure

  1. Bilateral subcostal incision madef with upward extension to xiphoid process
  2. Diseased liver mobilised, IVC clamped and liver removed
  3. (Patient on veno-venous bypass - IVC blood directed back to heart via cannula in axillary/internal jugular vein)
  4. Portal veins anastamosed end to end
  5. Common hepatic arteries anastamosed end to end
  6. CBD anastamosed end to end