Open AccessOutcome of partial reconstruction of multiple hepatic arteries in pediatric living donor liver transplantation using left liver grafts
Author(s) -
Lee Kyo Won,
Lee Sanghoon,
Oh Dong Kyu,
Na Byung Gon,
Choi Jin Yong,
Cho Wontae,
Lee Seunghwan,
Kim Jong Man,
Choi Gyuseong,
Kwon Choon Hyuck David,
Joh JaeWon,
Lee SukKoo
Publication year - 2016
Publication title -
transplant international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.998
H-Index - 82
eISSN - 1432-2277
pISSN - 0934-0874
DOI - 10.1111/tri.12787
Subject(s) - medicine , liver transplantation , anastomosis , surgery , artery , pulsatile flow , living donor liver transplantation , complication , survival rate , transplantation , radiology
Summary Partial liver grafts used in living donor liver transplantation ( LDLT ) may have multiple hepatic artery ( HA ) stumps. This study was designed to validate the safety of partial reconstruction of multiple HA s in pediatric LDLT cases. From January 2000 to June 2014, 136 pediatric LDLT recipients were categorized into three groups: single HA group (Group 1, n = 74), multiple HA s with total reconstruction group (Group 2, n = 23), and multiple HA s with partial reconstruction group (Group 3, n = 39). Partial reconstruction was performed only when there was pulsatile back‐bleeding after larger HA reconstruction and sufficient intrahepatic arterial flow was confirmed by Doppler ultrasound ( DUS ). There was no significant difference in biliary complication rate, artery complication rate, patient survival, and graft survival among these groups. Risk factor analysis revealed that the presence of multiple HA s and partial reconstruction of multiple HA s were not risk factors of biliary anastomosis stricture. In conclusion, partial reconstruction of HA s during pediatric LDLT using a left liver graft with multiple HA stumps does not increase the risk of biliary anastomosis stricture or affect graft survival when intrahepatic arterial communication is confirmed by pulsatile back‐bleeding and DUS .