Venovenous bypass was considered necessary to maintain haemodynamic stability and avoid splanchnic and retroperitoneal congestion during the anhepatic phase of liver transplantation. It was essential for right lobe living donor liver transplantation (LDLT) in which the inferior vena cava needed to be cross‐clamped to construct wide and short hepatic vein anastomoses. However, many complications related to venovenous bypass have been reported. This study aimed to determine whether venovenous bypass was necessary for right lobe LDLT.

No venovenous bypass is necessary for right lobe living donor liver transplantation, as it is not essential for maintaining haemodynamic stability and avoiding splanchnic and retroperitoneal congestion.

Right lobe living donor liver transplantation with or without venovenous bypass

Key Takeaway: No venovenous bypass is necessary for right lobe living donor liver transplantation, as it is not essential for maintaining haemodynamic stability and avoiding splanchnic and retroperitoneal congestion.