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Impact of celiac axis stenosis on living donor hepatectomy
N Akamatsu1, Y Sugawara, S Tamura
1Artificial Organ and Transplantation Division, Graduate School of Medicine, University of Tokyo, Department of Surgery, Tokyo, Japan.
Background:
Celiac axis stenosis was once cited as a reason for exclusion from living donor liver transplantation. Donor hepatectomy, however, leaves the pancreaticoduodenal artery arcade untouched, and theoretically, celiac axis stenosis has no impact on otherwise possible donors.
Methods:
Among 350 consecutive adult living donors of liver transplantation at Tokyo University Hospital, we experienced 11 (3%) donors with celiac axis stenosis or occlusion due to the median arcuate ligament.
Results:
Harvesting of the right liver was the most common procedure (n = 8), followed by harvesting of segments II and III (n = 2), and left liver (n = 1). The postoperative course was uneventful in all of the donors.
Conclusions:
Our results indicate that donor hepatectomy can be safely performed in the presence of significant celiac artery stenosis.
