| Branch patch reconstruction in living donor liver transplantation: arterialization of grafts with replaced type arteries. | |
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MedLine Citation:
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PMID: 17164730 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Osamu Aramaki; Yasuhiko Sugawara; Norihiro Kokudo; Tadatoshi Takayama; Masatoshi Makuuchi |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Transplantation Volume: 82 ISSN: 0041-1337 ISO Abbreviation: Transplantation Publication Date: 2006 Dec |
Date Detail:
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Created Date: 2006-12-13 Completed Date: 2007-03-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0132144 Medline TA: Transplantation Country: United States |
Other Details:
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Languages: eng Pagination: 1541-3 Citation Subset: IM |
Affiliation:
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Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anastomosis, Surgical
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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 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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