Hepatic artery reconstruction in pediatric liver transplantation:Experience from a single group

作     者：Ming-Xuan Feng Jia-Xu Zhang Ping Wan Bi-Jun Qiu Li-Hong Gu Jian-Jun Zhang Qiang Xia Ming-Xuan Feng;Jia-Xu Zhang;Ping Wan;Bi-Jun Qiu;Li-Hong Gu;Jian-Jun Zhang;Qiang Xia

作者机构：Department of Liver SurgeryRenji HospitalSchool of MedicineShanghai Jiao Tong UniversityShanghai 200000China Department of UltrasonographyRenji HospitalSchool of MedicineShanghai Jiao Tong UniversityShanghai 200000China 

出 版 物：《Hepatobiliary & Pancreatic Diseases International》 (国际肝胆胰疾病杂志（英文版）)

年 卷 期：2020年第19卷第4期

页      面：307-310页

核心收录：

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

基　　金：grants from the National Key R&D Program of China(2017YFC0908100) Cohort Study of HCC and Liver Diseases,Double First-Class Foundation,Shanghai Jiao Tong University(W410170015) Overall Leverage Clinical Medicine Center,NHFPC Foundation(2017ZZ01018) Key Clinical Subject Construction Project of Shanghai(shslczdzk05801) Shanghai Shenkang Three-year Program(16CR1003A) 

主　　题：Pediatric liver transplantation Vascular complication Hepatic artery thrombosis Microsurgery 

摘      要：Background:The reconstruction of hepatic artery is a challenging part of the pediatric liver transplantation *** artery thrombosis(HAT)and stenosis are complications which may result in ischemic biliary injury,causing early graft lost and even ***:Two hundred and fifty-nine patients underwent liver transplantation in 2017 in a single liver transplantation *** them,225 patients were living donor liver transplantation(LDLT)and 34 deceased donor liver transplantation(DDLT).Results:In LDLT all reconstructions of hepatic artery were microsurgical,while in DDLT either microsurgical reconstruction or traditional continuous suture technique was done depending on different *** were five(1.9%)HATs:four(4/34,11.8%)in DDLT(all whole liver grafts)and one(1/225,0.4%)in LDLT(P=0.001).Four HATs were managed conservatively using anticoagulation,and 1 accepted salvage surgery with *** now,3 HAT patients remain in good condition,whereas two developed biliary *** of them needed to be re-transplanted,and the other patient died due to biliary ***:Microsurgical technique significantly improves the reconstruction of hepatic artery in pediatric liver *** risk for arterial complications is higher in *** therapy can achieve good outcome in selected HAT cases.