title: Microsurgical hepatic artery reconstruction during living-donor liver transplantation by using head-mounted surgical binocular system.
abstract: We have described our experience with arterial reconstruction during living-donor liver transplantation by using Varioscope AF3--a head-mounted surgical binocular system with automatic focusing and continuous zoom magnification from 3.6x to 7.2x. From July 1996 to December 2006, 91 grafts were implanted in 89 living-donor liver transplantation recipients, including two that required retransplantation. For microsurgical reconstruction of the graft hepatic artery, a conventional operating microscope was used in the first 10 transplants and Varioscope, in the subsequent 81. The time required to complete arterial reconstruction while using a conventional operating microscope and Varioscope was 78.6 +/- 44.6 min and 35.5 +/- 15.5 min, respectively. No arterial complications, including hepatic artery thrombosis, occurred in any of the 89 patients during the observation period. In living-donor liver transplantation, successful hepatic artery reconstruction can be safely carried out using Varioscope.
authors.affiliation: Department of Surgery, Programs for Biomedical Research, Division of Frontier Medical Science, Graduate School of Biomedical Sciences, Hiroshima University, Minami-ku, Hiroshima, Japan. hohdan@hiroshima-u.ac.jp
authors.forename: Hideki
authors.initials: H
authors.lastname: Ohdan
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Tashiro
authors.forename: Kohei
authors.initials: K
authors.lastname: Ishiyama
authors.forename: Kentaro
authors.initials: K
authors.lastname: Ide
authors.forename: Masayuki
authors.initials: M
authors.lastname: Shishida
authors.forename: Toshimitsu
authors.initials: T
authors.lastname: Irei
authors.forename: Masahiro
authors.initials: M
authors.lastname: Ohira
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tahara
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Itamoto
authors.forename: Toshimasa
authors.initials: T
authors.lastname: Asahara
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D008866:Microsurgery / Q000295:instrumentation*; D008875:Middle Aged; D014656:Vascular Surgical Procedures / Q000295:instrumentation*