Article: Comparison of alternative arterial anastomosis site during liver transplantation when the recipient's hepatic artery is unusable.
Hepatobiliary surgery and nutrition
2022 Volume 11, Issue 1, Page(s) 1–12
Abstract: Background: Few studies have analyzed outcomes of liver transplantation (LT) when the recipient hepatic artery (HA) was not usable.: Methods: We retrospectively evaluated the outcomes of LT performed using the different alternative sites to HA.: ... ...
| Abstract | Background: Few studies have analyzed outcomes of liver transplantation (LT) when the recipient hepatic artery (HA) was not usable. Methods: We retrospectively evaluated the outcomes of LT performed using the different alternative sites to HA. Results: Between 2002 and 2017, 1,677 LT were performed in our institution among which 141 (8.4%) with unusable recipient HA were analyzed. Four groups were defined according to the site of anastomosis: the splenic artery (SA group, n=26), coeliac trunk (CT group, n=12), aorta using or not the donor's vessel (Ao group, n=91) and aorta using a vascular prosthesis (Ao-P group, n=12) as conduit. The median number of intraoperative red blood cell transfusions was significantly increased in the Ao and Ao-P groups (5, 5, 8.5 and 16 for SA, CT, Ao and Ao-P group respectively, P=0.002), as well as fresh frozen plasma (4.5, 2.5, 10, 17 for the SA, CT, Ao and Ao-P groups respectively, P=0.001). Hospitalization duration was also significantly increased in the Ao and Ao-P groups (15, 16, 24, 26.5 days for the SA, CT, Ao and Ao-P groups respectively, P<0.001). The occurrence of early allograft dysfunction (EAD) (P=0.07) or arterial complications (P=0.26) was not statistically different. Level of factor V, INR, bilirubin and creatinine during the 7 Conclusions: In case of unusable HA, intraoperative and postoperative outcomes are improved when using the SA or CT compared to aorta. |
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| Language | English |
| Publishing date | 2022-02-24 |
| Publishing country | China (Republic : 1949- ) |
| Document type | Journal Article |
| ZDB-ID | 2812398-0 |
| ISSN | 2304-389X ; 2304-3881 |
| ISSN (online) | 2304-389X |
| ISSN | 2304-3881 |
| DOI | 10.21037/hbsn-20-10 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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