title: Clinical Outcomes of Donor Hepatic Artery to Recipient Replaced Right Hepatic Artery Anastomosis in Living-Donor Liver Transplantation.
abstract: OBJECTIVE
  The aim of this work was to evaluate the clinical outcomes of donor hepatic artery to recipient replaced right hepatic artery anastomosis in living-donor liver transplantation.
  
  
  METHODS
  A retrospective analysis of 12 patients with donor hepatic artery to recipient replaced right hepatic artery anastomosis in living-donor liver transplantation from January 2012 to July 2014 was performed. Age, sex, clinical diagnosis of the liver disease, ABO mismatch, hepatic artery thrombosis, biliary strictures and leakage, graft loss, and mortality rates were evaluated.
  
  
  RESULTS
  Female-to-male ratio was 4:8. Right lobe was transplanted in 11 (91.7%) of the patients. In 1 patient, left lobe was transplanted. In 9 patients, single duct-to-duct biliary anastomosis was performed with cystic duct catheterization. In 2 patients, double duct-to-duct biliary anastomosis was performed. In 1 patient, double biliary duct-to-duct anastomosis was performed after ductoplasty to achieve a single ductal orifice. No hepatic artery thrombosis was observed. Biliary complications were observed in 6 patients (50%: biliary leaks in 2 patients, biliary stricture in 3 patients, and both in 1 patient). ABO mismatch was not observed. No graft loss due to hepatic artery thrombosis was observed. Mortality was observed in 2 patients (16.6%).
  
  
  CONCLUSIONS
  Donor hepatic artery to recipient replaced right hepatic artery anastomosis in living-donor liver transplantation is somewhat related to biliary complications, but not associated with increased rates of hepatic artery thrombosis.
authors.affiliation: Gastroenterology Surgery, Gazi Yasargil Education and Research Hospital, Diyarbakir, Turkey. Electronic address: okaykocdr@yahoo.com.tr.
authors.forename: O
authors.initials: O
authors.lastname: Koc
authors.affiliation: Department of General Surgery, Dumlupınar University School of Medicine, Kutahya, Turkey.
authors.forename: F
authors.initials: F
authors.lastname: Yaylak
authors.affiliation: Department of General Surgery, Faculty of Medicine, Inonu University, Malatya, Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Sarici
authors.affiliation: Department of General Surgery, Faculty of Medicine, Inonu University, Malatya, Turkey.
authors.forename: V
authors.initials: V
authors.lastname: Soyer
authors.affiliation: Department of General Surgery, Faculty of Medicine, Inonu University, Malatya, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Yilmaz
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D005260:Female; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D008107:Liver Diseases / Q000601:surgery; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014656:Vascular Surgical Procedures / Q000379:methods*