Use of a branch patch with the cystic artery in living-related liver transplantation.
Technical aspects in living-related liver transplantation are still under debate: the main pitfall is the arterial reconstruction due to the small diameter and the discrepancy between stumps, with a subsequent increased risk of arterial thrombosis. The gold standard is the microsurgical technique, that reports the lowest risk of thrombosis, but it is a time consuming procedure requiring a long training. Our method of choice reconstructing hepatic artery in right lobe is the use of the cystic artery as a branch patch with the recipient hepatic artery by loop magnification, saving time and with a low incidence of hepatic artery thrombosis.
Di Benedetto
Fabrizio
F
Liver and Multivisceral Transplantation Center, University of Modena, Modena, Italy. f.diben@virgilio.it
Lauro
Augusto
A
Masetti
Michele
M
Cautero
Nicola
N
Quintini
Cristiano
C
Dazzi
Alessandro
A
Ramacciato
Giovanni
G
Risaliti
Andrea
A
Miller
Charles M
CM
Pinna
Antonio D
AD
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D002648:Child; D005260:Female; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D013927:Thrombosis / Q000517:prevention & control; D014656:Vascular Surgical Procedures / Q000379:methods*