Figure 3. .

End-to-end anastomosis techniques used for Y-reconstruction of outflow after living donor liver transplantation (LDLT). (A) Venopiasty of the middle and left hepatic veins in the recipient A common trunk was created by splitting and suturing. (B) Venopiasty of the left hepatic vein of the graft, involving dissecting and joining to ensure adequate length. (C) Y-shaped end-to-end anastomosis joining the common trunk of the middle left hepatic veins in the recipient and the left hepatic vein of the graft with continuous sutures. MHV, middle hepatic vein; LHV, left hepatic vein; SB, superficial branch of the LHV; RHV, right hepatic vein; IVC, inferior vena cava. (Reprinted with permission from the American College of Surgeons ¹³).