Abstract:
:There is an emergent need for improving the microsurgical technique of variant arterial anastomosis to reduce the often seen surgery-related complications. We describe in this article our experience in improving this technique, in 73 living donor liver grafts (64 right lobes, 9 left lobes) in patients with end-stage liver disease during living donor liver transplantation. The hepatic arteries were evaluated preoperatively with computed tomography and magnetic resonance angiography. In this series, 13 grafts (17.80 %) with variant hepatic artery were conducted arterioplasty on a back-table under a loupe or a high-power microscope, which included one recipient in situ interposition vessel graft of recipient proper hepatic artery for artery reconstruction. The back-table reconstruction time was 16 ± 5.6 min. No arterial thrombosis was found in these cases during the 6-month postoperative follow-up. On the basis of our experience, we suggest that back-table microsurgical plasty for graft with arterial variation should be applied to minimize operative difficulties and to avoid arterial complications in living donor liver transplantation.
journal_name
Cell Biochem Biophysjournal_title
Cell biochemistry and biophysicsauthors
Liang Y,Ye S,Shi X,Ji W,Duan W,Luo Y,Dong Jdoi
10.1007/s12013-012-9421-7subject
Has Abstractpub_date
2013-03-01 00:00:00pages
257-62issue
2eissn
1085-9195issn
1559-0283journal_volume
65pub_type
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