Modified Piggy-Back Technique for Orthotopic Liver Transplantation in a 67-Year-Old Woman with Situs Inversus Totalis: A Case Report

Wen-rui Wu; Li Pang; Fa-peng Zhang; Ming-bin Feng; Lei-bo Xu; Chao Liu

doi:10.12659/AJCR.948098

29 July 2025 : Case report China

Modified Piggy-Back Technique for Orthotopic Liver Transplantation in a 67-Year-Old Woman with Situs Inversus Totalis: A Case Report

Congenital defects / diseases

Wen-rui Wu^{ABCDEF 1}, Li Pang^{A 1}, Fa-peng Zhang^{B 1}, Ming-bin Feng^{C 1}, Lei-bo Xu

^{D 1}, Chao Liu^{ABCDF 1*}

DOI: 10.12659/AJCR.948098

Am J Case Rep 2025; 26:e948098

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Figure 3 Modified piggy-back technique for venous outflow reconstructionThe donor suprahepatic inferior vena cava was anastomosed to the recipient inferior vena cava in an end-to-side fashion using a wide triangular opening, allowing for tension-free venous drainage in the context of reversed anatomy.

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Modified Piggy-Back Technique for Orthotopic Liver Transplantation in a 67-Year-Old Woman with Situs Inversus Totalis: A Case Report

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