One-shot side-to-side anastomosis (OSSSA) with stapler for cavo-cavostomy in liver transplantation: the first step towards a fully mechanized liver transplant?

In literature, a variety of caval reconstruction techniques for liver transplantation have been reported. The piggyback technique preserves the recipient’s caval vein which is directly anastomosed to donor’s inferior vena cava (IVC) allowing for the reduction of hemodynamic compromise during liver transplantation. Herein, we present our standardized step-by-step technique for the realization of a caval one-shot side-to-side anastomosis (OSSSA)...