HEPATIC ARTERY RECONSTRUCTION IN LIVING DONOR LIVER TRANSPLANTATION; MICROSURGICAL APPROACH | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 31, Issue 3, July 2012, Page 97-102 PDF (755.23 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2012.367255 | ||||
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| Authors | ||||
| Mohamed El-Wahsh* 1; Ashraf Enite2 | ||||
| 1Department of Surgery, Al Zahraa University Hospital, Cairo, Egypt | ||||
| 2Radiology, Al Zahraa University Hospital, Cairo, Egypt | ||||
| Abstract | ||||
| Aim: Hepatic artery (HA) reconstruction is one of the crucial steps during the process of living donor liver transplantation (LDLT). The incidence of hepatic artery thrombosis has been reduced over the last few years by the introduction of microsurgical approach under high resolution microscope or loupe. In this study we investigate the incidence of hepatic artery thrombosis after introducing the microsurgical approach at our Liver Unit. Methods: We report our experience in 25 cases of HA reconstruction in LDLT using graft-artery-unclamp and posterior-wall-first technique. HA reconstructions were done by specialized microsurgical surgeon. Results: In our series there was no report of any case with HA thrombosis. The risk factors for failed procedures appeared to be reduced by participation of specialized microsurgical surgeon comparing to the results in the published data. Conclusion: HA reconstruction without clamping the graft artery is a feasible and simplified technique. It should be done by specialized microsurgical surgeons this could be mastered by transplant surgeons in the future with plenty of microsurgical training. | ||||
| Keywords | ||||
| Living donor, liver transplantation, Microsurgery; Anastomosis, Hepatic artery | ||||
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