Liver transplant: Living donor right hepatectomy (donor procedure) - TVASurg

Case description

The living donor was a 48 year old woman.
A previous cholecystectomy had been performed.
The transection plane extends from the junction of the right hepatic vein with the cava and extends through the gall bladder fossa to the pre-determined location of bile duct transection.
Intraoperative cholangiogram will confirm the bile duct transection location.
The right lobe graft will consist of segments V, VI, VII and VIII. Pre-op calculations estimated a volume of 812 cm³.
The remaining left lobe volume of 326 cm³ was calculated to be safe for the donor.
Two bile duct branches, 6/7 and 5/8 branches of the right hepatic duct, were transected, yielding a graft with two bile duct orifices.
The bile ducts were cut to leave good tissue for re-implantation. If the tissue is too thin, it will be difficult to sew, and may result in leakage.
The donor bile duct orifices were sutured closed with running 6-0 PDS suture, in such a manner as not to compromise the lumen for the common bile duct.
In addition to the right hepatic vein, significant segment 6/7 and segment 8 hepatic vein branches were preserved for the donor graft.