Artery reconstruction in liver transplantation: the best reconstruction of right hepatic artery variation.
Arq Bras Cir Dig
; 26(1): 62-5, 2013.
Article
en En, Pt
| MEDLINE
| ID: mdl-23702874
ABSTRACT
INTRODUCTION:
Variations on the anatomy of the hepatic artery are common, with incidence of 20-50%. In liver transplantation, back-table reconstruction is often necessary for an easier and prompt arterial anastomosis and so, the use of arterial patches has been related to lower the incidence of complications. However, when a right hepatic artery variation from the superior mesenteric artery is present, the reconstruction occasionally produces twisting and flow problems.METHODS:
Is described a surgical alternative for right hepatic artery variation reconstruction using a Carrel-patch from the superior mesenteric artery. The patch is anastomosed with the splenic artery stump to allow vertical orientation and improve blood flow.RESULTS:
Among 120 liver transplants, four consecutive cases of right hepatic artery variation were reconstructed using this technique. All of them showed good flow and patency in postoperative period.CONCLUSION:
The proposed technique proved to be an interesting alternative for the reconstruction of right hepatic artery variation in liver transplantation.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Trasplante de Hígado
/
Arteria Hepática
Tipo de estudio:
Guideline
/
Incidence_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
En
/
Pt
Año:
2013
Tipo del documento:
Article