Current status of assessment and management of variant hepatic arteries in DCD liver transplantation
10.7659/j.issn.1005-6947.250175
- VernacularTitle:DCD供肝全肝移植中变异肝动脉的评估和处理现状
- Author:
Qi YU
1
;
Jiongze FANG
1
Author Information
1. 宁波大学附属李惠利医院肝胆胰外科,浙江宁波 315048
- Publication Type:Journal Article
- Keywords:
Liver Transplantation;
Donation after Circulatory Death;
Hepatic Artery;
Anatomic Variation;
Review
- From:
Chinese Journal of General Surgery
2025;34(8):1766-1776
- CountryChina
- Language:Chinese
-
Abstract:
Donation after circulatory death liver transplantation(DCD-LT)remains a curative treatment for end-stage liver disease.Variant hepatic arteries are frequently encountered during transplantation,and inadequate management may result in localized ischemia and graft dysfunction.Precise handling of these variations remains a critical determinant of surgical success.This review summarizes anatomical classifications based on Michels' typology,highlights the value of imaging modalities in preoperative evaluation and intraoperative decision-making,and outlines current surgical approaches.Particular emphasis is placed on standardized strategies for arterial reconstruction in complex variations.Future research perspectives are also proposed,aiming to optimize assessment and management of variant hepatic arteries in DCD-LT.
