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Jejunal Artery Can Be a Useful Option for Arterial Reconstruction in Living Donor Liver Transplantation When the Suitable Arterial Inflow Is Absent

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Author(s)
김태석
Alternative Author(s)
Kim, Tae Seok
Publication Year
2013
Abstract
Successful arterial reconstruction is essential for liver transplantation. In the case of
inadequate arterial inflow, an arterial conduit from the aorta using artery graft or re-
establishment of arterial flow through other arteries such as the splenic artery, gastro-
epiploic, or sigmoid artery is considered. Herein we report our experience of 27 cases of
hepatic artery reconstruction using alternative methods. The most common cause of
hepatic artery reconstruction requiring alternative methods was intimal dissection for
which we usually used the gastroepiploic artery. Many patients had a previous operation
or transarterial chemoembolization history. Among these cases, hepatic artery recon-
struction using the jejunal artery was performed for 2 cases of living donor liver trans-
plantation due to the absence of suitable alternatives. These patients have been followed
up with patent hepatic arterial flow until now. Thus, the jejunal artery can be a useful
option for arterial reconstruction in living donor liver transplantation when suitable
arterial inflow is absent.
Department
Dept. of Surgery (외과학)
Publisher
School of Medicine
Citation
Transplantation proceedings, Vol.45(8) : 3140-3143, 2013
Type
Article
ISSN
0041-1345
DOI
10.1016/j.transproceed.2013.08.032
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/34752
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