Arterial complications after liver transplantation: the impact of allocation of arteries to the donor liver in multi-organ retrieval
10.3760/cma.j.issn.1007-8118.2012.05.006
- VernacularTitle:应用肝肾胰十二指肠联合切取供肝的动脉分配与肝移植术后动脉并发症的关系(附11例报告)
- Author:
Tao YANG
;
Zhijun ZHU
;
Wei GAO
;
Lin WEI
;
Zhigui ZENG
;
Jishan SUN
;
Liying SUN
;
Zhongyang SHEN
- Publication Type:Journal Article
- Keywords:
Liver transplantation;
Multi-organ retrieval;
Arterial thrombosis
- From:
Chinese Journal of Hepatobiliary Surgery
2012;18(5):337-340
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo study the impact of allocation of organ arteries and their reconstruction for donor livers on arterial complications after liver transplantation from organ clusters obtained by combined liver,kidney,pancreas and duodenum harvesting.The aim is to guide future use of donor organs more safely and rationally with a decrease in postoperative complications.MethodWe studied 11 patients.ResultsThere was no hepatic artery anomaly.A Carrol artery patch was obtained at the bifurcation of the proper hepatic artery and the gastroduodenal artery in these donor livers.In one patient,an arterial graft was used because of inadequate arterial length,and arterial thrombosis developed which required re-transplantation.The hepatic arterial reconstruction was successful for the remaining 10 patients.One patient died of pulmonary infection 5 months post transplantation.ConclusionWhen combined liver,kidney,pancreas and duodenum harvesting was used,enough arterial length of the recipient must be preserved.There should be adequate and prompt communication between the teams carrying out the donor operation and the recipient operation.A Carrol arterial patch of the proper hepatic artery and the gastroduodenal artery for the donor liver,and the use of microsurgical vascular anastomosis in the operation are the keys to prevent hepatic arterial complications after liver transplantation.Multi-organ harvesting can be used for obtaining donor livers in liver transplantation.
