Preoperative Investigation and Preparation for the Procedure

History and physical examination:

Laboratory tests: Liver tests, coagulation studies, kidney function, electrolytes, hepatitis and HIV serology Doppler ultrasound: Check for patency and flow of liver vessels (portal vein, hepatic artery, and hepatic veins)

Check for tumors, vascular collaterals, aneurysms of the splenic artery or splanchnic thrombosis May be indicated in primary sclerosing cholangitis In case of portal vein thrombosis, planned retransplantation, and in case of hepatocellular carcinoma for TACE (trans-arterial chemo-embolization)

According to the Child-Pugh criteria (bilirubin, albumin, prothrombin time/INR, ascites, encephalopathy) and/or according to the Model for End-Stage Liver Disease (MELD) score (serum creatinine, bilirubin, international normalized ratio, INR) Histological Graft biopsy in case of suspected steatosis examination:

CT scan or MRI:

MRCP or ERCP: Angiography:


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