Open AccessShort‐ and long‐term outcomes of arterial reconstruction on recipient splenic artery in adult liver transplantation. Single‐center prospective study 25 years after first description
Author(s) -
Llado Laura,
Ramos Emilio,
Bravo Alex,
Baliellas Carme,
Mils Kristel,
Busquets Juli,
Cachero Alba,
Secanella Lluis,
Pelaez Nuria,
GonzalezVilatarsana Emma,
Fabregat Joan
Publication year - 2019
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.13447
Subject(s) - medicine , liver transplantation , splenic artery , surgery , transplantation , artery , anastomosis , single center , prospective cohort study
Summary Several techniques have been proposed for liver transplantation with inadequate hepatic artery ( HA ) anastomosis. We aimed to analyze outcomes of arterial reconstruction with the splenic artery ( SA ). This was a prospective study of our experience with recipients who underwent arterial anastomosis on the SA compared with patients who underwent standard HA . We included 54 patients in the SA group and 1405 in the HA group. Patients in SA group were more frequently retransplantation (31% vs. 8%; P = 0.001), required more transfusion (11 ± 12 vs. 6 ± 9.9 PRC ; P = 0.001), had longer surgeries (424 ± 95 vs. 394 ± 102 min; P = 0.03), and longer hospital stays (28 ± 29 vs. 20 ± 18 days; P = 0.002). There were no differences in vascular and biliary complications (15% and 7%; P = 0.18; and 32% and 23%; P = 0.32), primary dysfunction (11% and 9%; P = 0.74), reoperation (12% and 10%; P = 0.61), postoperative mortality (13% and 7%; P = 0.12) and 5 years survival (66% vs. 63%; P = 0.71). Following primary transplantation, there were no differences. The outcomes of arterial reconstruction using the recipients' SA in adult liver transplantation are comparable to those for standard HA reconstruction after a first transplant.