title: A modified technique for hepatic artery reconstruction in living donor liver transplantation.
abstract: Reconstruction of the hepatic artery (HA) is challenging, because there are technical difficulties. Especially, it is difficult to repair the posterior wall. In 2006, we reported an experimental study of the posterior wall first continuous suturing combined with the interrupted suturing and we also confirmed the safety of this procedure. In this article, we report our clinical experiences using this procedure for the HA reconstruction in living-donor liver transplantation. First, we repaired the posterior wall of the HA with continuous suturing. Then, the anterior wall is repaired with the interrupted suturing using a nylon suture with double needle. Between 2006 and 2009, we performed 13 HA reconstructions using our procedure. In all patients, the HA reconstruction was completed easily and uneventfully without oozing from the posterior wall or postoperative HA thrombosis. Our procedure has the benefits of both continuous and interrupted suturing. We believe that it is useful for reconstruction of the HA in living-donor liver transplantation.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Fukushima Medical University, Fukushima City, Japan. oktms-okt@umin.ac.jp
authors.forename: Masayuki
authors.initials: M
authors.lastname: Okochi
authors.forename: Kazuki
authors.initials: K
authors.lastname: Ueda
authors.forename: Taro
authors.initials: T
authors.lastname: Hirose
authors.forename: Hiromi
authors.initials: H
authors.lastname: Okochi
authors.forename: Hideaki
authors.initials: H
authors.lastname: Watanabe
authors.forename: Yasutoshi
authors.initials: Y
authors.lastname: Suzuki
authors.forename: Akiyoshi
authors.initials: A
authors.lastname: Kajikawa
mesh_terms: D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D002648:Child; D002675:Child, Preschool; D005260:Female; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D007223:Infant; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D013536:Suture Techniques; D020858:Tissue and Organ Harvesting; D055815:Young Adult