Impact of middle hepatic artery reconstruction after living donor liver transplantation using the left lobe.

Clinical Transplantation
Noboru HaradaMasaki Mori

Abstract

The aim of this study was to clarify the impact of middle hepatic artery reconstruction on the outcomes of duct-to-duct biliary anastomosis after living donor liver transplantation (LDLT) using the left lobe. Among 258 patients who underwent LDLT using the left lobe, 216 patients who underwent hepatic artery reconstruction and one hepatic duct reconstruction with duct-to-duct interrupted anastomosis were divided into three groups: Group A (n = 123), one arterial stump with left hepatic artery reconstruction; Group B (n = 32), two arterial stumps with only left hepatic artery reconstruction; and Group C (n = 61), two arterial stumps with reconstruction of the left and middle hepatic arteries. The outcomes after LDLT were compared among the three groups. No hepatic artery complications occurred. Group B had a significantly greater incidence of anastomotic biliary stricture than Group C. A multivariate analysis with Cox regression revealed that being in Group B was the only significant independent risk factor for postoperative anastomotic biliary stricture after LDLT. Middle and left hepatic artery reconstruction is safe in LDLT and may prevent biliary stricture caused by dual hepatic artery reconstruction when the graft has left ...Continue Reading

References

Mar 21, 1998·The British Journal of Surgery·G N StapletonJ Terblanche
Nov 21, 2000·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·G TestaC E Broelsch
May 11, 2002·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Taketoshi SuehiroKeizo Sugimachi
Apr 22, 2006·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Robert C VerdonkElizabeth B Haagsma
May 25, 2006·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Yuji SoejimaYoshihiko Maehara
Dec 29, 2007·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Theodore H WellingShawn J Pelletier
Feb 13, 2008·Pediatric Transplantation·Mehmet HaberalGulnaz Arslan
Feb 15, 2011·Surgery·Yasuhiko SugawaraNorihiro Kokudo
Mar 21, 2012·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Y SoejimaY Maehara
Jun 4, 2014·Transplantation·Hideaki UchiyamaYoshihiko Maehara
Apr 27, 2016·Transplant International : Official Journal of the European Society for Organ Transplantation·Kyo Won LeeSuk-Koo Lee
Aug 20, 2016·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Toru IkegamiYoshihiko Maehara
Jun 8, 2017·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Toru IkegamiYoshihiko Maehara
Feb 13, 2019·Transplantation·Tomoharu YoshizumiMasaki Mori

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