Caval reconstruction techniques in orthotopic liver transplantation

Table 4 Side-to-side cavocaval anastomosis

Ref.	Anastomosis	Conclusion
Durand et al[39]	STSCCA	Low rates of postoperative renal failure. Maintained postoperative creatinine clearance. Preserved renal perfusion pressure, mean arterial pressure, cardiac index throughout procedure
Hesse et al[40]	STSCCA vs STSCCA with VVB vs STSCCA with TPCS	Lowest blood loss in group with VVB (no P-value reported). Highest red blood cell and fresh-frozen plasma transfusion in group without VVB or TPCS (P = 0.002). Changes in pre- and post-operative creatinine most pronounced in group with TPCS (not significant, no P-value reported)
Mehrabi et al[20]	STSCCA	Technique feasible in all patients, no anatomic limitations. Minimizes need for VVB or TPCS. Some patients with hepatic venous outflow obstruction managed with stenting, early revision or retransplant. Can apply technique in retransplants
Pisaniello et al[19]	STSCCA	Safe technique. Can be performed in most patients. Recommend post-anastomotic doppler ultrasonography

STSCCA: Side-to-side cavocaval anastomosis; VVB: Venovenous bypass; TPCS: Temporary portocaval shunt.