Microvascular hepatic artery reconstruction in pediatric abdominal transplantation: pearls and pitfalls.
The "back-wall first" hepatic artery microanastomosis in pediatric liver transplantation saves lives and reduces morbidity. We describe our technique of hepatic artery reconstruction and offer a systematic and multi-team collaborative approach that optimizes surgical outcomes.
Bodor
Richard
R
Veterans Affairs Medical Center, San Diego Division of Plastic and Reconstructive Surgery, University of California-San Diego, 200 West Arbor Drive, San Diego, CA 92103, USA.
Greenberg
Joshua I
JI
Abrams
Reid A
RA
Obiekwe
Sam
S
Hart
Marquis
M
Lavine
Joel E
JE
Khanna
Ajai
A
D000714:Anastomosis, Surgical; D002675:Child, Preschool; D005500:Follow-Up Studies; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D007223:Infant; D008099:Liver / Q000098:blood supply*; D017093:Liver Failure / Q000175:diagnosis / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods*; D018810:Magnetic Resonance Angiography; D008866:Microsurgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014656:Vascular Surgical Procedures / Q000379:methods*