Liver Transplantation Basics — Flashcards

Flashcard 1: Next best step for a patient with bile duct injury in post-op period would be to _____ and administer broad spectrum abx

Answer: drain the collection

Flashcard 2: Portal hypertension may be treated with _____ between the portal and hepatic veins

Answer: TIPS

Extra: TIPS = Transjugular Intrahepatic Portosystemic Shunt. It is used to decompress the portal system in cases of refractory ascites or variceal bleeding.

Flashcard 3: According to Strasberg classification of bile duct injury, injury to main hepatic duct, more than 2cm from confluence is classified as Type _____

Answer: E1

Flashcard 4: Segments _____ and _____ of the liver are removed during radical cholecystectomy.

Answer: IVb; V

Flashcard 5: The most accurate method of determining portal hypertension is _____

Answer: hepatic venography.

Flashcard 6: What is the treatment of choice in epitheloid hemangioendotheliomas?_____

Answer: Total hepatectomy with liver transplantation.

Flashcard 7: In an intra-operative bile duct injury, if the injured duct is _____ mm in diameter or drains less than a single segment of the liver, ligation is performed.

Answer: less than 3

Flashcard 8: In Pringle manoeuvre, structures of _____ are clamped at the edge of hepatoduodenal ligament.

Answer: portal triad

Flashcard 9: According to _____ classification, Caroli's disease is classified as a type _____ choledochal cyst.

Answer: Todani

Flashcard 10: _____ is used after CBD exploration (post choledochotomy) to allow bile to drain while the sphincter of Oddi is in spasm postoperatively

Answer: Kehr’s T tube