Impact of celiac axis stenosis on living donor hepatectomy.
BACKGROUND
Celiac axis stenosis was once cited as a reason for exclusion from living donor liver transplantation. Donor hepatectomy, however, leaves the pancreaticoduodenal artery arcade untouched, and theoretically, celiac axis stenosis has no impact on otherwise possible donors.


METHODS
Among 350 consecutive adult living donors of liver transplantation at Tokyo University Hospital, we experienced 11 (3%) donors with celiac axis stenosis or occlusion due to the median arcuate ligament.


RESULTS
Harvesting of the right liver was the most common procedure (n = 8), followed by harvesting of segments II and III (n = 2), and left liver (n = 1). The postoperative course was uneventful in all of the donors.


CONCLUSIONS
Our results indicate that donor hepatectomy can be safely performed in the presence of significant celiac artery stenosis.
Akamatsu
N
N
Artificial Organ and Transplantation Division, Graduate School of Medicine, University of Tokyo, Department of Surgery, Tokyo, Japan.
Sugawara
Y
Y
Tamura
S
S
Kaneko
J
J
Togashi
J
J
Makuuchi
M
M
D000328:Adult; D001157:Arterial Occlusive Diseases / Q000453:epidemiology*; D002445:Celiac Artery / Q000033:anatomy & histology; D003251:Constriction, Pathologic; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D020858:Tissue and Organ Harvesting / Q000379:methods*