Routine use of the piggyback technique in pediatric orthotopic liver transplantation

Jose Nery, James Jacque, Debbie Weppler, Jose Casella, Carlos Luque, Alex Siquijor, John Thompson, Philip Ruiz, Farrukh Khan, Marc Webb, Andreas Tzakis

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


The theoretical advantages of the piggyback technique over conventional orthotopic liver transplantation are as follows. (1) Continuous venous decompression during the anhepatic phase is provided without venovenous bypass. (2) Warm ischemia time can be shortened because there is no need for the infrahepatic vena cava anastomosis. The following report is a review of the authors' experience with this method in children during the past year at their institution. Analyses of intraoperative hemodynamics and blood loss, postoperative renal function, patient and graft survival, and length of hospital stay have shown excellent results. There were no intraoperative deaths, and causes of death and graft loss were not related to the technique. The authors conclude that children who undergo liver transplantation can be very satisfactorily managed with the piggyback operation, and this technique may be more advantageous than the conventional method.

Original languageEnglish (US)
Pages (from-to)1644-1647
Number of pages4
JournalJournal of Pediatric Surgery
Issue number12
StatePublished - Dec 1996
Externally publishedYes


  • Liver transplantation
  • piggyback
  • venovenous bypass

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health


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