This video overviews the basic anatomy of the liver and the piggyback liver transplant technique. This technique involves removing a whole donor organ along with the inferior vena cava, removing the recipient’s damaged liver, and implanting the donor organ into the recipient. This video was made for educational purposes only. It was produced by an undergraduate student for the general public to gain a better understanding of this technique. Should you have further questions or concerns about how this technique is used when performing surgery, please consult https://pie.med.utoronto.ca/TVASurg/p..., where you can view the procedure.

This video was made by McMaster University student Ethan Michalenko in collaboration with the Demystifying Medicine and Inquiry Anatomy McMaster Program.

Timestamps:
0:00 - Introduction
0:08 - Overview
0:26 - Anatomy and Positioning of Liver 2:03 - Regenerative Capability
2:44 - Damaged Livers
2:55 - MELD
3:33 - Overview of Procedures
4:43 - Donor Hepatectomy
6:44 - Recipient Hepatectomy
8:23 - V-V Bypass
8:46 - Recipient Implantation
10:33 - Conclusion

Copyright McMaster University 2023

References:

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Kniery, K. (2023, June 26). How to do a liver transplant with dr. Shah and dr. Dageforde. Behind the Knife: The Surgery Podcast. https://behindtheknife.org/podcast/ho...
Makowka, L., Stieber, A. C., Sher, L., Kahn, D., Mieles, L., Bowman, J., ... & Starzl, T. E. (1988). Surgical technique of orthotopic liver transplantation. Gastroenterology Clinics of North America, 17(1), 33-51.
Starzl, T. E., Hakala, T. R., Shaw Jr, B. W., Hardesty, R. L., Rosenthal, T. J., Griffith, B. P., ... & Bahnson, H. T. (1984). A flexible procedure for multiple cadaveric organ procurement. Surgery, gynecology & obstetrics, 158(3), 223.
Tortora GJ, Derrickson BH. Principles of anatomy and physiology. John Wiley & Sons; 2018 May 15.
UofT. (2018, May 4). Piggy-back liver transplantation with SMV jump graft. TVASurg - The Toronto Video Atlas of Surgery. https://pie.med.utoronto.ca/TVASurg/p...

Keywords: Liver Transplant, Piggyback Procedure, Hepatectomy, MELD, Liver, Anatomy, Veno-Venous Bypass

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This video is provided for general and educational information only. Please consult your health care provider for Information about your health.

This video was made by McMaster students in collaboration with the McMaster Demystifying Medicine Program