Sezai Yilmaz1, Koray Kutluturk1, Sertac Usta1, Sami Akbulut2. 1. Department of Surgery and Liver Transplant Institute, Faculty of Medicine, Inonu University, Elazig Yolu 10. Km, 44280, Malatya, Turkey. 2. Department of Surgery and Liver Transplant Institute, Faculty of Medicine, Inonu University, Elazig Yolu 10. Km, 44280, Malatya, Turkey. akbulutsami@gmail.com.
Abstract
BACKGROUND: Hepatic artery reconstruction is an essential part of liver transplantation. This difficult stage of the operation is even more demanding in living donor liver transplantation than in deceased donor liver transplantation. One of the most important advances in hepatic artery reconstruction for living liver grafts was the introduction of microsurgical techniques involving an operative microscope or surgical loupe. Many surgical reconstruction techniques have been used in this field. PURPOSE: In this article, first, we will talk about the hepatic artery reconstruction techniques that are frequently used in deceased donor liver transplantation, and afterward, we will talk about the hepatic artery reconstruction techniques used in living donor liver transplantation, which include the hepatic artery reconstruction technique we use and call "one stay corner suture technique". CONCLUSIONS: We think high-volume transplant centers should tend to develop a standardized technique for doing hepatic artery reconstruction with their teams. We think the "one stay corner suture technique" can be easily applied in centers that perform LDLT.
BACKGROUND: Hepatic artery reconstruction is an essential part of liver transplantation. This difficult stage of the operation is even more demanding in living donor liver transplantation than in deceased donor liver transplantation. One of the most important advances in hepatic artery reconstruction for living liver grafts was the introduction of microsurgical techniques involving an operative microscope or surgical loupe. Many surgical reconstruction techniques have been used in this field. PURPOSE: In this article, first, we will talk about the hepatic artery reconstruction techniques that are frequently used in deceased donor liver transplantation, and afterward, we will talk about the hepatic artery reconstruction techniques used in living donor liver transplantation, which include the hepatic artery reconstruction technique we use and call "one stay corner suture technique". CONCLUSIONS: We think high-volume transplant centers should tend to develop a standardized technique for doing hepatic artery reconstruction with their teams. We think the "one stay corner suture technique" can be easily applied in centers that perform LDLT.
Authors: T Inomoto; F Nishizawa; H Sasaki; H Terajima; Y Shirakata; S Miyamoto; I Nagata; M Fujimoto; F Moriyasu; K Tanaka; Y Yamaoka Journal: Surgery Date: 1996-01 Impact factor: 3.982
Authors: C R Shackleton; J A Goss; K Swenson; S D Colquhoun; P Seu; M M Kinkhabwala; S M Rudich; J S Markowitz; S V McDiarmid; R W Busuttil Journal: Am J Surg Date: 1997-05 Impact factor: 2.565
Authors: Parveen Warner; Giuseppe Fusai; Georgios K Glantzounis; Caroline A Sabin; Nancy Rolando; David Patch; Dinesh Sharma; Brian R Davidson; Keith Rolles; Andrew K Burroughs Journal: Transpl Int Date: 2011-01-06 Impact factor: 3.782
Authors: G R Coelho; A S Leitao; F P Cavalcante; I R C Brasil; G Cesar-Borges; P E G Costa; M A P Barros; P M Lopes; E H Nascimento; J I da Costa; C F Viana; T D S Rocha; J B M Vasconcelos; J H P Garcia Journal: Transplant Proc Date: 2008-12 Impact factor: 1.066
Authors: K Mori; I Nagata; S Yamagata; H Sasaki; F Nishizawa; Y Takada; F Moriyasu; K Tanaka; Y Yamaoka; K Kumada Journal: Transplantation Date: 1992-08 Impact factor: 4.939