scholarly journals A Multi-Facility, Randomized, Comparative Study Examining the Efficacy of Biliary Reconstruction Under a Surgical Microscope in Living Donor Liver Transplantation

2021 ◽  
Vol 25 (1) ◽  
pp. 141-146
Author(s):  
Akihiko Soyama ◽  
Tomoharu Yoshizumi ◽  
Mitsuhisa Takatsuki ◽  
Noboru Harada ◽  
Takeo Toshima ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Comparative Study ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Biliary Reconstruction ◽  
Donor Liver ◽  
Donor Liver Transplantation ◽  
Surgical Microscope

Analysis of Outcomes in Living Donor Liver Transplants Involving Reconstructive Microsurgeons

2019 ◽  
Vol 36 (03) ◽  
pp. 223-227
Author(s):  
Jorge Andres Hernandez ◽  
Cody L. Mullens ◽  
Julien T. Aoyama ◽  
Cassandra A. Ligh ◽  
Abraham Shaked ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Liver Failure ◽  
Hepatic Artery ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Liver Transplants ◽  
Donor Liver ◽  
Donor Liver Transplantation ◽  
Surgical Microscope ◽  
Living Donor Transplantation

Abstract Background Living donor transplantation is becoming increasingly popular as a modality for patients necessitating liver transplantation. Hepatic artery thrombosis (HAT) remains the most feared acute postoperative complication associated with living-donor liver transplantation. Preoperative planning, including scheduling reconstructive microsurgeons to perform the hepatic artery anastomosis using a surgical microscope or loupes, can decrease HAT rates. Methods A retrospective review of two reconstructive microsurgeons at a single institution was performed to analyze postoperative outcomes of adult and pediatric live donor liver transplants where reconstructive microsurgeons performed the hepatic artery anastomosis. One surgeon utilized the surgical microscope, while the other surgeon opted to use surgical loupes for the anastomosis. Results A total of 38 patients (30 adult and eight pediatric) met inclusion criteria for this study, and average patient age in the adult and pediatric population studied was 48.5 and 3.6 years, respectively. Etiologies of adult patients' liver failure were most commonly cholestatic (43%), followed by alcohol (23%), hepatitis C virus-related cirrhosis (17%), and nonalcoholic steatohepatitis (7%), while etiologies of pediatric liver failure were most commonly cholestatic (62.5%). None of the patients (0%) experienced acute postoperative HAT. On average, 22 and 25 months of postoperative follow-up was obtained for the adult and pediatric cohorts, respectively, and only one adult patient was found to have any liver-related complication. Conclusion A collaborative relationship between reconstructive microsurgeons and transplant surgeons mitigates the risk of HAT and improves patient outcomes in living donor liver transplantation.

scholarly journals Feasibility of using the cystic duct for biliary reconstruction in right-lobe living donor liver transplantation

2005 ◽  
Vol 11 (11) ◽  
pp. 1431-1434 ◽  
Author(s):  
Katsuhiro Asonuma ◽  
Hideaki Okajima ◽  
Mikako Ueno ◽  
Takayuki Takeichi ◽  
Manuel E. Zeledon Ramirez ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Cystic Duct ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Biliary Reconstruction ◽  
Donor Liver ◽  
Donor Liver Transplantation ◽  
Right Lobe

Section 9. Technical Details of Microsurgical Biliary Reconstruction in Living Donor Liver Transplantation

2014 ◽  
Vol 97 ◽  
pp. S34-S36 ◽  
Author(s):  
Tsan-Shiun Lin ◽  
Chao-Long Chen ◽  
Allan M Concejero ◽  
Anthony Q. Yap ◽  
Yu-Hung Lin ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Biliary Reconstruction ◽  
Donor Liver ◽  
Donor Liver Transplantation ◽  
Technical Details
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