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Article: Microvascular Reconstruction of the Hepatic Artery in Live Donor Liver Transplantation: Experience Across a Decade

TitleMicrovascular Reconstruction of the Hepatic Artery in Live Donor Liver Transplantation: Experience Across a Decade
Authors
Issue Date2004
PublisherAmerican Medical Association. The Journal's web site is located at http://www.archsurg.com
Citation
Archives Of Surgery, 2004, v. 139 n. 3, p. 304-307 How to Cite?
AbstractHypothesis: Hepatic arterial anastomosis by means of a microvascular technique can be performed with a high success rate in live donor liver transplantation in adult recipients. Design: Retrospective analysis of data collected prospectively. Setting: Tertiary referral center. Patients: From September 28, 1993, through December 23, 2002, 28 children received left lateral segment grafts (n=23) or left lobe grafts (n=5), and 124 adults received left lobe (n=6) or right lobe (n=118) grafts. Microvascular technique was used for hepatic arterial anastomosis. Attention was paid to exposure, orientation of the axis of arterial ends, and matching of size. Long microinstruments were used for arterial ends deeply located inside an adult's abdominal cavity. An average of 16 stitches was used for a vessel anastomosis 3 mm in diameter. Interventions: Intraoperative and postoperative Doppler ultrasonography were performed. Main Outcome Measures: Hepatic artery thrombosis rate. Results: All hepatic arterial anastomoses were patent after reconstruction. Complications occurred in 3 patients. They had hepatic arterial thrombosis at 19 days, 25 days, and 3 months after liver transplantation. The overall complication rate was 2%. Conclusion: With attention to exposure, appropriate instruments, and experience, a low complication rate of 2% can be achieved in hepatic arterial anastomosis by using a microvascular technique, even in adult patients with the liver graft situated deeply in the abdominal cavity.
Persistent Identifierhttp://hdl.handle.net/10722/83109
ISSN
2014 Impact Factor: 4.926
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWei, WIen_HK
dc.contributor.authorLam, LKen_HK
dc.contributor.authorNg, RWNen_HK
dc.contributor.authorLiu, CLen_HK
dc.contributor.authorLo, CMen_HK
dc.contributor.authorFan, STen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2010-09-06T08:37:06Z-
dc.date.available2010-09-06T08:37:06Z-
dc.date.issued2004en_HK
dc.identifier.citationArchives Of Surgery, 2004, v. 139 n. 3, p. 304-307en_HK
dc.identifier.issn0004-0010en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83109-
dc.description.abstractHypothesis: Hepatic arterial anastomosis by means of a microvascular technique can be performed with a high success rate in live donor liver transplantation in adult recipients. Design: Retrospective analysis of data collected prospectively. Setting: Tertiary referral center. Patients: From September 28, 1993, through December 23, 2002, 28 children received left lateral segment grafts (n=23) or left lobe grafts (n=5), and 124 adults received left lobe (n=6) or right lobe (n=118) grafts. Microvascular technique was used for hepatic arterial anastomosis. Attention was paid to exposure, orientation of the axis of arterial ends, and matching of size. Long microinstruments were used for arterial ends deeply located inside an adult's abdominal cavity. An average of 16 stitches was used for a vessel anastomosis 3 mm in diameter. Interventions: Intraoperative and postoperative Doppler ultrasonography were performed. Main Outcome Measures: Hepatic artery thrombosis rate. Results: All hepatic arterial anastomoses were patent after reconstruction. Complications occurred in 3 patients. They had hepatic arterial thrombosis at 19 days, 25 days, and 3 months after liver transplantation. The overall complication rate was 2%. Conclusion: With attention to exposure, appropriate instruments, and experience, a low complication rate of 2% can be achieved in hepatic arterial anastomosis by using a microvascular technique, even in adult patients with the liver graft situated deeply in the abdominal cavity.en_HK
dc.languageengen_HK
dc.publisherAmerican Medical Association. The Journal's web site is located at http://www.archsurg.comen_HK
dc.relation.ispartofArchives of Surgeryen_HK
dc.titleMicrovascular Reconstruction of the Hepatic Artery in Live Donor Liver Transplantation: Experience Across a Decadeen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0004-0010&volume=139&issue=3&spage=304&epage=307&date=2004&atitle=Microvascular+reconstruction+of+the+hepatic+artery+in+live+donor+liver+transplantation:+experience+across+a+decadeen_HK
dc.identifier.emailWei, WI: hrmswwi@hku.hken_HK
dc.identifier.emailLo, CM: chungmlo@hkucc.hku.hken_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityWei, WI=rp00323en_HK
dc.identifier.authorityLo, CM=rp00412en_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1001/archsurg.139.3.304en_HK
dc.identifier.pmid15006889-
dc.identifier.scopuseid_2-s2.0-1542321208en_HK
dc.identifier.hkuros85947en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-1542321208&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume139en_HK
dc.identifier.issue3en_HK
dc.identifier.spage304en_HK
dc.identifier.epage307en_HK
dc.identifier.isiWOS:000220105400014-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridWei, WI=7403321552en_HK
dc.identifier.scopusauthoridLam, LK=7201984637en_HK
dc.identifier.scopusauthoridNg, RWN=7102153861en_HK
dc.identifier.scopusauthoridLiu, CL=7409789712en_HK
dc.identifier.scopusauthoridLo, CM=7401771672en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

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