Document Detail


A novel technique for hepatic arterial reconstruction in living-donor liver transplant.
MedLine Citation:
PMID:  17617047     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Arterial reconstruction in patients undergoing living-donor liver transplant is technically difficult because of the small diameter of the vessels in the partial liver graft. In this study, we present our technique for hepatic arterial reconstruction. METHODS: Since December 2005, we have performed 54 living-donor liver transplants, which are analyzed retrospectively in this report. In our technique now used at our institution, native and graft hepatic arteries are spatulated from both the anterior and posterior walls to provide a wide anastomosis. Computed tomographic angiography is used to evaluate the vascular anatomy and to measure the diameter of the graft hepatic arteries. RESULTS: Mean follow-up was 7.2 +/- 5.5 months (range, 1-17 months). Nine of the 54 recipients died within 4 months of the surgery. At the time of this writing, the remaining 45 recipients (84%) are alive and demonstrating good graft function. In 2 recipients (3.7%) in this series, hepatic artery thromboses developed, which were treated with an interventional radiologic technique. CONCLUSIONS: Our arterial reconstruction technique has enabled reconstruction of smaller arteries and arteries of various diameters without an operating microscope. The rate of complications in our patients is similar to that reported in similar individuals.
Authors:
Mehmet Haberal; Sinasi Sevmis; Hamdi Karakayali; Gokhan Moray; Ugur Yilmaz; Figen Ozcay; Adnan Torgay; Cem Aydogan; Gulnaz Arslan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation     Volume:  5     ISSN:  1304-0855     ISO Abbreviation:  -     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-07-09     Completed Date:  2007-07-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101207333     Medline TA:  Exp Clin Transplant     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  585-9     Citation Subset:  IM    
Affiliation:
Department of General Surgery and Transplantation, Baskent University Faculty of Medicine, Ankara, Turkey. rektorluk@baskent-ank.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Angioplasty, Transluminal, Percutaneous Coronary
Child
Child, Preschool
Follow-Up Studies
Hepatic Artery / surgery*
Humans
Infant
Liver Transplantation / methods*,  mortality
Living Donors*
Male
Middle Aged
Retrospective Studies
Stents
Survival Analysis
Thrombolytic Therapy
Thrombosis / etiology,  therapy
Vascular Surgical Procedures* / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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