Complex liver retransplantation to treat graft loss due to long-term biliary tract complication after liver transplantation: A case report

Figure 4 Schematic diagram of surgical procedure. Liver vena cava anastomosis was performed in an orthotopic cavo-caval manner; portal reconstruction was carried out by means of end-to-end anastomosis; graft portal vein was connected with the recipient’s left renal vein through an interposition vein, and the distal end of the left renal vein was sutured; the hepatic artery anastomosis was done between the donor celiac artery and the recipient’s infrarenal aorta through an interposition artery; and a bilio-biliary anastomosis was performed with a T-shaped drainage tube.