Prevention and treatment of hepatic artery dissection in donors and recipients during liver transplantation
10.3969/j.issn.1674-7445.2023.04.005
- VernacularTitle:肝移植术中供受者肝动脉夹层的防治策略
- Author:
Zhaobo LIU
1
;
Zhenshun WANG
;
Dongbin LIU
;
Fei LI
;
Jia LI
;
Dongdong LIN
Author Information
1. Department of General Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
- Publication Type:Research Article
- Keywords:
iver transplantation;
Hepatic artery dissection;
Intimal dissection;
Hepatic artery reconstruction;
Artery anastomosis;
Ischemia-reperfusion injury;
Atherosclerosis
- From:
Organ Transplantation
2023;14(4):498-
- CountryChina
- Language:Chinese
-
Abstract:
Hepatic artery reconstruction is one of the key procedures in liver transplantation. Accidental dissection of the hepatic artery to be reconstructed caused by donor and recipient factors or surgical factors will disrupt the surgical plan, increase the difficulty of arterial reconstruction, significantly prolong the operation time, increase the risk of postoperative arterial stenosis and thrombosis and probably lead to acute allograft failure, which requires emergency surgical interventions or even secondary liver transplantation. Understanding of how to avoid dissection of the artery to be anastomosed during liver transplantation and corresponding treatment will contribute to preventing the incidence of artery-related complications during liver transplantation and improving clinical prognosis of liver transplant recipients. In this article, the causes, prevention and treatment of hepatic artery dissection and hepatic artery reconstruction in donors and recipients during liver transplantation were illustrated.
