✦ LIBER ✦

A modified technique for hepatic artery reconstruction in living donor liver transplantation

✍ Scribed by Masayuki Okochi; Kazuki Ueda; Taro Hirose; Hiromi Okochi; Hideaki Watanabe; Yasutoshi Suzuki; Akiyoshi Kajikawa

Publisher: John Wiley and Sons
Year: 2010
Tongue: English
Weight: 177 KB
Volume: 30
Category: Article
ISSN: 0738-1085
DOI: 10.1002/micr.20778

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Reconstruction of the hepatic artery (HA) is challenging, because there are technical difficulties. Especially, it is difficult to repair the posterior wall. In 2006, we reported an experimental study of the posterior wall first continuous suturing combined with the interrupted suturing and we also confirmed the safety of this procedure. In this article, we report our clinical experiences using this procedure for the HA reconstruction in living‐donor liver transplantation. First, we repaired the posterior wall of the HA with continuous suturing. Then, the anterior wall is repaired with the interrupted suturing using a nylon suture with double needle. Between 2006 and 2009, we performed 13 HA reconstructions using our procedure. In all patients, the HA reconstruction was completed easily and uneventfully without oozing from the posterior wall or postoperative HA thrombosis. Our procedure has the benefits of both continuous and interrupted suturing. We believe that it is useful for reconstruction of the HA in living‐donor liver transplantation. © 2010 Wiley‐Liss, Inc. Microsurgery 30:541–544, 2010.

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