[Technics of arterial and venous reconstruction in liver transplantation]

In liver transplantation, the quality of the immediate postoperative period depends on a perfect surgical technique and, notably, on the quality of the hepatic arterial blood flow. In case of arterial abnormality, the reconstruction resulting from a donor's right hepatic artery is performed either by Gordon's technique or by reimplantation of the patch on splenic artery. An insufficient hepatic arterial blood flow requires the installation of an iliac artery graft between the recipient's aorta and the donor's coeliac patch. The presence of portal thrombosis, parietal defect or portocaval anastomosis requires the use of an interposed iliac vein graft. Direct implantation on the superior mesenteric vein suppresses the need for dissection of a portocaval shunt or resection of the thrombotic vein.