Use of a branch patch with the cystic artery in living-related liver transplantation

Clin Transplant. 2004 Aug;18(4):480-3. doi: 10.1111/j.1399-0012.2004.00195.x.

Abstract

Technical aspects in living-related liver transplantation are still under debate: the main pitfall is the arterial reconstruction due to the small diameter and the discrepancy between stumps, with a subsequent increased risk of arterial thrombosis. The gold standard is the microsurgical technique, that reports the lowest risk of thrombosis, but it is a time consuming procedure requiring a long training. Our method of choice reconstructing hepatic artery in right lobe is the use of the cystic artery as a branch patch with the recipient hepatic artery by loop magnification, saving time and with a low incidence of hepatic artery thrombosis.

MeSH terms

  • Adolescent
  • Adult
  • Anastomosis, Surgical / methods
  • Child
  • Female
  • Hepatic Artery / surgery*
  • Humans
  • Liver Transplantation / methods*
  • Living Donors
  • Male
  • Microsurgery
  • Middle Aged
  • Postoperative Complications / prevention & control
  • Thrombosis / prevention & control
  • Vascular Surgical Procedures / methods*