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Venous anastomosis using a non‐penetrating vascular closure system in orthotopic liver transplantation
Author(s) -
Wang Yuan,
Xin Zhao,
Pan Bing,
Lv Shaocheng,
Zhang Xingmao,
Zhang Zhihua,
Li Lixin,
Li Xianliang,
He Qiang
Publication year - 2017
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.13123
Subject(s) - medicine , anastomosis , fibrous joint , surgery , inferior vena cava , liver transplantation , vein , orthotopic liver transplantation , complication , surgical anastomosis , liver function , hepatectomy , transplantation , resection
Background A non‐penetrating vessel closure system ( VCS ‐AnastoClip ® ) may facilitate vascular anastomosis. The purpose of this study is to explore the utilization of a non‐penetrating VCS in orthotopic liver transplantation ( OLT ). Methods From January 2015 to February 2017, patients who underwent OLT were divided into two groups, ie, those who underwent non‐penetrating VCS application for inferior vena cava ( IVC ) and portal vein ( PV ) reconstructions and those who underwent hand sewing for these purposes. Clinical data, venous anastomotic times, anhepatic phases, and the recovery of liver function were compared between the groups. Results One hundred and fifteen patients underwent OLT (63 in the VCS group and 52 in the suture group). No differences between the two groups were observed in the baseline characteristics. The venous anastomotic time and anhepatic phase in the VCS group were significantly shorter than those in the suture group ( P < .01). The alanine transaminase and total bilirubin levels in the VCS group were comparable to those in the suture group ( P = .39 and P = .06, respectively). The complication, mortality, and patency rates of the PV reconstructions did not differ significantly between the two groups. Conclusions In OLT , the reconstruction of the PV and IVC with a non‐penetrating VCS system is a safe alternative method that has the advantage of shortening the anastomotic time and the anhepatic phase compared to the results of conventional hand suturing. However, the use of this VCS system had no influence on the recovery of graft function.