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©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Aug 28, 2014; 20(32): 11131-11141
Published online Aug 28, 2014. doi: 10.3748/wjg.v20.i32.11131
Published online Aug 28, 2014. doi: 10.3748/wjg.v20.i32.11131
Hepatic hemodynamic changes during liver transplantation: A review
An-Chieh Feng, Hsiu-Lung Fan, Teng-Wei Chen, Chung-Bao Hsieh, Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Neihu, Taipei 11490, Taiwan
Author contributions: Feng AC, Hsieh CB, Fan HL and Chen TW performed the research; Feng AC and Hsieh CB wrote the paper.
Correspondence to: Chung-Bao Hsieh, MD, Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No. 325, Cheng-Kung Rd, Sec2, Neihu, Taipei 11490, Taiwan. albert0920@yahoo.com.tw
Telephone: +886-9-33980018 Fax: +886-2-87927372
Received: January 3, 2014
Revised: March 21, 2014
Accepted: April 30, 2014
Published online: August 28, 2014
Revised: March 21, 2014
Accepted: April 30, 2014
Published online: August 28, 2014
Core Tip
Core tip: Even with the technical advancement of liver transplantation, there is still lack of consensus about the optimal range of the hepatic hemodynamic parameters intra-operatively. In this article, we review the physiology of liver hemodynamics in the normal population and also in the cirrhosis-related portal hypertension. The hemodynamic changes during liver transplantation with different graft types according to the primary hepatic circulation of the recipients are discussed. Finally, the flowchart applied in our center for performing graft inflow modulation according to systemic and hepatic hemodynamic parameters during liver transplantation is proposed in detail.