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30 December 2011

Continuous versus interrupted suture for hepatic artery reconstruction using a loupe in living-donor liver transplantation

Yuan-Sheng TzengABCDEF, Chung-Bao HsiehABCF, Shyi-Gen ChenABCF

Ann Transplant 2011; 16(4): 12-15 :: ID: 882213


Background: Partial liver transplantation from live donors is now widely performed to compensate for the shortage of deceased donors’ organs. Operative microscopy is often used to achieve hepatic artery anastomosis. Here we report our experience of hepatic artery reconstruction using loupe magnification.
Material/Methods: We used operative microscopy (12–16× magnification) in our early experience. We changed to loupe magnification (3.5×) in 43 cases. Reconstructions were done with continuous, end-to-end anastomoses with 8-0 nylon and a 3.5× loupe was used for the arterial anastomosis.
Results: The mean follow-up time was 8 months. There were no cases of hepatic artery thrombosis.
Conclusions: Hepatic artery reconstruction in living donor liver transplantation with continuous end-to-end suturing using loupe magnification can yield good results.

Keywords: ureteral stenosis, Kidney Transplantation, clinical classification, anastomosis time, Hepatic Artery - transplantation, living donor liver transplantation

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358