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Updated: Aug 30, 2026
Re-Arterialized Rat Partial Liver Transplantation with an in vivo Vessel-Oriented 70% Hepatectomy
Published on: April 8, 2018
Hepatic artery reconstruction prior to orthotopic liver transplantation
P Hevelke1, M Grodzicki, P Nyckowski
1Department of General, Transplantation, and Liver Surgery, Medical University of Warsaw, Warsaw, Poland.
Background:
This study examines the types of arterial reconstruction for grafts prepared for orthotopic transplantation procedures.
Methods:
Between 1993 and February 2003, 200 organs were harvested for orthotopic liver transplantation. Arterial variations were found in 28 cases (14%), among which 16 cases (8%) required vascular reconstruction with 4 cases due to accidentally damaged during liver harvesting.
Results:
Among the 200 organs harvested for liver transplantation, arterial variations requiring reconstruction were found in 12 cases (6%); these included: replacing an accessory left hepatic artery from the left gastric artery (9/1 reconstruction); replacing an accessory left hepatic artery from the upper mesenteric artery (2/1 reconstruction), and replacing an accessory right hepatic artery from the upper mesenteric artery (10/10 reconstructions). The splenic artery was typically used for anastomosis (seven cases, 58.3%) as well as the gastroduodenal artery (two cases, 16.7%) or the right gastric artery (one case, 8.3%). In the remaining two cases, a more complex technique was required.
Conclusions:
Reconstruction of graft vessels before an orthotopic liver transplantation procedure does not increase the risk of vascular complications.
