Back to Search
Start Over
Outcome of partial reconstruction of multiple hepatic arteries in pediatric living donor liver transplantation using left liver grafts
- Source :
- Transplant International. 29:890-896
- Publication Year :
- 2016
- Publisher :
- Frontiers Media SA, 2016.
-
Abstract
- Partial liver grafts used in living donor liver transplantation (LDLT) may have multiple hepatic artery (HA) stumps. This study was designed to validate the safety of partial reconstruction of multiple HAs in pediatric LDLT cases. From January 2000 to June 2014, 136 pediatric LDLT recipients were categorized into three groups: single HA group (Group 1, n = 74), multiple HAs with total reconstruction group (Group 2, n = 23), and multiple HAs with partial reconstruction group (Group 3, n = 39). Partial reconstruction was performed only when there was pulsatile back-bleeding after larger HA reconstruction and sufficient intrahepatic arterial flow was confirmed by Doppler ultrasound (DUS). There was no significant difference in biliary complication rate, artery complication rate, patient survival, and graft survival among these groups. Risk factor analysis revealed that the presence of multiple HAs and partial reconstruction of multiple HAs were not risk factors of biliary anastomosis stricture. In conclusion, partial reconstruction of HAs during pediatric LDLT using a left liver graft with multiple HA stumps does not increase the risk of biliary anastomosis stricture or affect graft survival when intrahepatic arterial communication is confirmed by pulsatile back-bleeding and DUS.
- Subjects :
- Male
medicine.medical_specialty
Biliary complication
Pulsatile flow
Transplants
Left liver
030230 surgery
Risk Assessment
ABO Blood-Group System
03 medical and health sciences
Hepatic Artery
Postoperative Complications
0302 clinical medicine
Risk Factors
Living Donors
Humans
Medicine
Risk factor
Child
Retrospective Studies
Transplantation
business.industry
Anastomosis, Surgical
Graft Survival
Significant difference
Infant
Patient survival
Plastic Surgery Procedures
Liver Transplantation
Surgery
Treatment Outcome
medicine.anatomical_structure
Liver
Child, Preschool
Female
030211 gastroenterology & hepatology
Bile Ducts
Radiology
business
Living donor liver transplantation
Vascular Surgical Procedures
Artery
Subjects
Details
- ISSN :
- 09340874
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- Transplant International
- Accession number :
- edsair.doi.dedup.....bee2080a99c6f2ab135870900ee7d3de