Branch patch reconstruction in living donor liver transplantation: arterialization of grafts with replaced type arteries.

Full Abstract

We developed a hepatic arterialization technique in living donor liver transplantation. The technique was indicated in patients with a left graft from donors with a right hepatic artery originated from superior mesenteric artery or a right graft from donors with a left hepatic artery from left gastric artery. The donor common hepatic and gastroduodenal arteries were split. On the recipient side, left and right hepatic arteries or branches of the right hepatic artery were split, received patch plasty, and anastomosed with the graft arteries under loupe observation. Livers from 25 donors were procured (16 right livers and 9 left livers) using this technique. There were no vascular complications in the donors. Three recipients died due to infectious disease with arterial patency. The remaining 22 recipients survived without hepatic arterial thrombosis. In limited situations, this technique can be adapted for living donor liver transplantation without increasing donor complications.

Learn Faster Today Improve your study skills

Author information

Author/s: Aramaki, Osamu (O); Sugawara, Yasuhiko (Y); Kokudo, Norihiro (N); Takayama, Tadatoshi (T); Makuuchi, Masatoshi (M);

Affiliation: Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: Transplantation (Transplantation), published in United States. (Language: eng)

Reference: 2006-Dec; vol 82 (issue 11) : pp 1541-3

Dates: Created 2006/12/13; Completed 2007/03/08;

PMID: 17164730, status: MEDLINE (last retrieval date: 11/6/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

External Links for this article (including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.

MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Anastomosis, Surgical - methods
Angioplasty - methods
Hepatectomy - methods
Hepatic Artery - abnormalities; surgery
Humans

Liver - blood supply; surgery
Liver Transplantation - methods
Living Donors
Tissue and Organ Harvesting - methods
Treatment Outcome

These are the highest related articles currently in the database:

See 100+ related articles.