Use of living donor liver grafts with double or triple arteries

Hideaki Uchiyama, Ken Shirabe, Tomoharu Yoshizumi, Toru Ikegami, Yuji Soejima, Yoichi Yamashita, Hirofumi Kawanaka, Tetsuo Ikeda, Masaru Morita, Eiji Oki, Yoshihiko Maehara

研究成果: ジャーナルへの寄稿記事

6 引用 (Scopus)

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BACKGROUND: Hepatic grafts used in living donor liver transplantation (LDLT) sometimes have two or more arteries, in which surgeons are required to perform complex arterial reconstruction. The aim of the current study was to demonstrate whether selecting living donor liver grafts with double or triple arteries yielded the same outcomes as grafts with a single artery. METHODS: We retrospectively investigated the outcomes of LDLT focusing on the numbers of arteries on grafts. Four hundred forty-six cases of LDLT performed between October 1996 and October 2012 were retrospectively analyzed. The cases were divided into the following three groups according to the number of arteries on a graft: the single (n=331), the double (n=108), and the triple (n=7) groups. RESULTS: Artery-related complications occurred in five cases in the single group, two cases in the double group, and no case in the triple group. Although the overall graft survival was comparable among the three groups, there was a tendency of worsened graft survival and increased incidence of anastomotic biliary stricture after liver transplantation in right hepatic grafts with double arteries. CONCLUSIONS: The use of grafts with double or triple arteries yielded favorable outcomes with minimum artery-related complications compared with grafts with a single artery. However, the use of right hepatic grafts with double arteries is discouraging in the current study.

元の言語英語
ページ(範囲)1172-1177
ページ数6
ジャーナルTransplantation
97
発行部数11
DOI
出版物ステータス出版済み - 6 19 2014

All Science Journal Classification (ASJC) codes

  • Transplantation

フィンガープリント Use of living donor liver grafts with double or triple arteries' の研究トピックを掘り下げます。これらはともに一意のフィンガープリントを構成します。

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    Uchiyama, H., Shirabe, K., Yoshizumi, T., Ikegami, T., Soejima, Y., Yamashita, Y., Kawanaka, H., Ikeda, T., Morita, M., Oki, E., & Maehara, Y. (2014). Use of living donor liver grafts with double or triple arteries. Transplantation, 97(11), 1172-1177. https://doi.org/10.1097/01.TP.0000442687.33536.c4