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Microsurgical reconstruction of hepatic artery in living donor liver transplantation:experiences and lessons
Authors:Sheng Yan  Qi-Yi Zhang  Yu-Sheng Yu  Jiang-Juan He  Wei-Lin Wang  Min Zhang  Yan Shen  Jian Wu  Xiao Xu    Shu-Sen Zheng Division of Hepatobiliary    Pancreatic Surgery
Affiliation:Sheng Yan,Qi-Yi Zhang,Yu-Sheng Yu,Jiang-Juan He,Wei-Lin Wang,Min Zhang,Yan Shen,Jian Wu,Xiao Xu and Shu-Sen Zheng Division of Hepatobiliary and Pancreatic Surgery,Department of Surgery,Key Laboratory of Combined Multi-organ Transplantation,Ministry of Public Health,and Key Laboratory of Organ Transplantation Zhejiang Province,First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China
Abstract:BACKGROUND:Hepatic artery(HA) reconstruction is one of the key steps for living donor liver transplantation(LDLT).The incidence of HA thrombosis has been reduced by the introduction of microsurgical techniques under a high resolution microscope or loupe.METHODS:We report our experience in 101 cases of HA reconstruction in LDLTs using the graft-artery-unclamp and posterior-wall-first technique.The reconstructions were completed by either a plastic surgeon or a transplant surgeon.RESULTS:The rate of HA thromb...
Keywords:living donor  liver transplantation  microsurgery  anastomosis  hepatic artery  
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