title: Procurement of liver and pancreas allografts in donors with replaced/accessory right hepatic arteries.
abstract: Anatomic variants in the origin of the right hepatic artery have led to various approaches at the time of organ procurement for transplantation. Of special relevance is the presence of a replaced or accessory right hepatic artery arising independently from the superior mesenteric artery. On the basis of an estimated combined experience of almost 2,000 organ procurements and implantations, we propose a technique in which dissection is kept to a minimum, with the goal of preventing procurement-associated injuries.
authors.affiliation: Department of Surgery, The Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Baltimore, MD 21287-8611, USA. emolmen1@jhmi.edu
authors.forename: Ernesto P
authors.initials: EP
authors.lastname: Molmenti
authors.forename: Andrew S
authors.initials: AS
authors.lastname: Klein
authors.forename: Mitchell L
authors.initials: ML
authors.lastname: Henry
mesh_terms: D006498:Hepatectomy / Q000379:methods*; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D016035:Pancreas Transplantation / Q000379:methods*; D010180:Pancreatectomy / Q000379:methods*; D014019:Tissue Donors; D020858:Tissue and Organ Harvesting / Q000379:methods*; D014184:Transplantation, Homologous