Use of the Right Lobe Graft With Double Hepatic Arteries in Living-Donor Liver Transplant

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dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authoridSARICI, KEMAL BARIŞ/0000-0001-9595-1906
dc.authoridsoyer, haci vural/0000-0003-4271-7467
dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridsabuncuoglu, mehmet zafer/0000-0002-5549-4023
dc.authoridCakir, Tugrul/0000-0001-7952-8462
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.authorwosidSARICI, KEMAL BARIŞ/ABI-4356-2020
dc.authorwosidsoyer, haci vural/KAM-0073-2024
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.authorwosidsabuncuoglu, mehmet zafer/KIG-1933-2024
dc.contributor.authorCakir, Tugrul
dc.contributor.authorSabuncuoglu, M. Zafer
dc.contributor.authorSoyer, Vural
dc.contributor.authorSarici, Baris
dc.contributor.authorKoc, Suleyman
dc.contributor.authorOnur, Asim
dc.contributor.authorUnal, Bulent
dc.date.accessioned2024-08-04T20:52:03Z
dc.date.available2024-08-04T20:52:03Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjectives: We aimed to examine management of double hepatic artery reconstruction in patients under going living-donor liver transplant. Materials and Methods: Between January 2002 and June 2014, one thousand thirty-six living-donor liver transplants were performed at the Liver Transplant Institute of Malatya Inonu University. Living liver grafts with a single hepatic artery were used in 983 living-donor liver transplants, while grafts with double hepatic artery branches were used in 53 living-donor liver transplants. All of the liver grafts with double hepatic artery branches were right lobe grafts. Hepatic artery anastomosis technique and the other medical data of recipients who used grafts with double hepatic arteries were analyzed retrospectively. Results: A double hepatic artery anastomosis was created in 43 recipients, while a single anastomosis was created in the remaining 10 because of ligation of the nondominant hepatic artery branch. In 40 recipients, double hepatic artery branches in the graft were anastomosed with the recipient's right and left hepatic artery. In the remaining 3 recipients, double hepatic artery branches in the graft were anastomosed with the recipient's right hepatic artery and large segment 4 hepatic arteries. Postoperative complications related with hepatic artery anastomoses developed in 3 recipients: hepatic artery thrombosis (n = 1), hepatic artery aneurysm (n = 1), and hepatic artery stenosis (n = 1). A recipient with hepatic artery aneurysm immediately underwent a retransplant. A recipient with a hepatic artery thrombosis relapsed and required retransplant, which was treated with thrombectomy on postoperative day 10. A recipient with hepatic artery stenosis was followed conservatively. In our series, the incidence of complications related with double hepatic artery anastomosis was found to be 6.9%. Conclusions: According to our experiences, a double hepatic artery anastomosis does not increase the risk of hepatic artery thrombosis and can be performed safely by surgeons who are experienced with hepatic vascular reconstructions in a living-donor liver transplant recipient.en_US
dc.identifier.doi10.6002/ect.2015.0108
dc.identifier.endpage499en_US
dc.identifier.issn1304-0855
dc.identifier.issn2146-8427
dc.identifier.issue5en_US
dc.identifier.pmid26767402en_US
dc.identifier.scopus2-s2.0-85131362791en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage495en_US
dc.identifier.urihttps://doi.org/10.6002/ect.2015.0108
dc.identifier.urihttps://hdl.handle.net/11616/100698
dc.identifier.volume20en_US
dc.identifier.wosWOS:000805861700007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBaskent Univen_US
dc.relation.ispartofExperimental and Clinical Transplantationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnastomotic techniqueen_US
dc.subjectGraft with double hepatic arteryen_US
dc.subjectLiving-donor liver transplanten_US
dc.titleUse of the Right Lobe Graft With Double Hepatic Arteries in Living-Donor Liver Transplanten_US
dc.typeArticleen_US

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