PMC5054144_01
Representation of the patient's anatomy before and after surgery. (A) 1. Percutaneous Transhepatic Cholangiography; 2. Stapled-off Jejunum; 3. Ileostomy with mucous fistula; and (B) 1. Piggyback liver transplant; 2. Native esophagus; 3. Stomach graft; 4. Piloroplasty; 5. Pancreas graft; 6. Colon graft; 7. Loop ileostomy; 8. Native sigmoid colon; 9. Kidney graft; 10. Donor celiac trunk-recipient celiac trunk anastomosis; 11. Donor superior mesenteric artery-recipient superior mesenteric artery anastomosis
ijotm-7-193-g001.jpg
PMC5054144_02_ijotm-7-193-g001.jpg
F1
After completion of the recipient's native enterectomy, hepatectomy and pancreatectomy, the multi-visceral graft was transplanted as previously described; the kidney graft was transplanted intra-peritoneally to the right iliac fossa with standard technique (Fig 1). The arterial inflow to the multi-visceral graft consisted of two separate end-to-end anastomoses between the celiac trunk and the SMA of the recipient and of the graft, respectively (Fig 1).
PMC5054144_02
Representation of the patient's anatomy before and after surgery. (A) 1. Percutaneous Transhepatic Cholangiography; 2. Stapled-off Jejunum; 3. Ileostomy with mucous fistula; and (B) 1. Piggyback liver transplant; 2. Native esophagus; 3. Stomach graft; 4. Piloroplasty; 5. Pancreas graft; 6. Colon graft; 7. Loop ileostomy; 8. Native sigmoid colon; 9. Kidney graft; 10. Donor celiac trunk-recipient celiac trunk anastomosis; 11. Donor superior mesenteric artery-recipient superior mesenteric artery anastomosis
ijotm-7-193-g001.jpg
PMC5054144_02_ijotm-7-193-g001.jpg
F1
After completion of the recipient's native enterectomy, hepatectomy and pancreatectomy, the multi-visceral graft was transplanted as previously described; the kidney graft was transplanted intra-peritoneally to the right iliac fossa with standard technique (Fig 1). The arterial inflow to the multi-visceral graft consisted of two separate end-to-end anastomoses between the celiac trunk and the SMA of the recipient and of the graft, respectively (Fig 1).