Outcome of living donor liver transplantation using right liver allografts with multiple arterial supply

Kyo Won Lee; Sanghoon Lee; Jeungmin Huh; Chan Woo Cho; Nuri Lee; Hye Seung Kim; Kyunga Kim; Jong Man Kim; Gyu Seong Choi; Choon Hyuck David Kwon; Jae Won Joh; Suk Koo Lee

doi:10.1002/lt.24600

Outcome of living donor liver transplantation using right liver allografts with multiple arterial supply

Kyo Won Lee, Sanghoon Lee, Jeungmin Huh, Chan Woo Cho, Nuri Lee, Hye Seung Kim, Kyunga Kim, Jong Man Kim, Gyu Seong Choi, Choon Hyuck David Kwon, Jae Won Joh, Suk Koo Lee

Department of Surgery

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

A right liver graft with multiple hepatic artery (HA) stumps can be found in approximately 5% of living donor liver transplantation (LDLT) using a right lobe graft. From January 2000 to June 2014, 1149 patients underwent LDLT procedures. Thirty patients with LDLT using a right lobe graft with multiple HA stumps and 149 patients with LDLT using a right lobe graft with a single HA stump were enrolled. These patients were divided into 3 groups: single HA (group 1, n = 149), multiple HAs with total reconstruction (group 2, n = 19), and multiple HAs with selective partial reconstruction (group 3, n = 11). Selective partial reconstruction was performed only when pulsatile back-bleeding was confirmed after larger HA reconstruction and sufficient intrahepatic arterial flow was confirmed by Doppler ultrasound (DUS). In group 2, the donor HAs were smaller (P <.001), and HA reconstruction took longer (P <.001). However, there was no significant difference among the groups regarding the arterial complication rate, biliary complication rate, and patient and graft survival. In conclusion, selective partial reconstruction of HA stumps for LDLT using a right lobe graft was feasible when intrahepatic arterial communication was confirmed by pulsatile back-bleeding from the smaller artery and DUS. Liver Transplantation 22 1649–1655 2016 AASLD.

Original language	English
Pages (from-to)	1649-1655
Number of pages	7
Journal	Liver Transplantation
Volume	22
Issue number	12
DOIs	https://doi.org/10.1002/lt.24600
State	Published - 1 Dec 2016

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10.1002/lt.24600

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@article{e71947cdc1a9413986e872552601b996,

title = "Outcome of living donor liver transplantation using right liver allografts with multiple arterial supply",

abstract = "A right liver graft with multiple hepatic artery (HA) stumps can be found in approximately 5\% of living donor liver transplantation (LDLT) using a right lobe graft. From January 2000 to June 2014, 1149 patients underwent LDLT procedures. Thirty patients with LDLT using a right lobe graft with multiple HA stumps and 149 patients with LDLT using a right lobe graft with a single HA stump were enrolled. These patients were divided into 3 groups: single HA (group 1, n = 149), multiple HAs with total reconstruction (group 2, n = 19), and multiple HAs with selective partial reconstruction (group 3, n = 11). Selective partial reconstruction was performed only when pulsatile back-bleeding was confirmed after larger HA reconstruction and sufficient intrahepatic arterial flow was confirmed by Doppler ultrasound (DUS). In group 2, the donor HAs were smaller (P <.001), and HA reconstruction took longer (P <.001). However, there was no significant difference among the groups regarding the arterial complication rate, biliary complication rate, and patient and graft survival. In conclusion, selective partial reconstruction of HA stumps for LDLT using a right lobe graft was feasible when intrahepatic arterial communication was confirmed by pulsatile back-bleeding from the smaller artery and DUS. Liver Transplantation 22 1649–1655 2016 AASLD.",

author = "Lee, \{Kyo Won\} and Sanghoon Lee and Jeungmin Huh and Cho, \{Chan Woo\} and Nuri Lee and Kim, \{Hye Seung\} and Kyunga Kim and Kim, \{Jong Man\} and Choi, \{Gyu Seong\} and Kwon, \{Choon Hyuck David\} and Joh, \{Jae Won\} and Lee, \{Suk Koo\}",

note = "Publisher Copyright: {\textcopyright} 2016 by the American Association for the Study of Liver Diseases.",

year = "2016",

month = dec,

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doi = "10.1002/lt.24600",

language = "English",

volume = "22",

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T1 - Outcome of living donor liver transplantation using right liver allografts with multiple arterial supply

AU - Lee, Kyo Won

AU - Lee, Sanghoon

AU - Huh, Jeungmin

AU - Cho, Chan Woo

AU - Lee, Nuri

AU - Kim, Hye Seung

AU - Kim, Kyunga

AU - Kim, Jong Man

AU - Choi, Gyu Seong

AU - Kwon, Choon Hyuck David

AU - Joh, Jae Won

AU - Lee, Suk Koo

PY - 2016/12/1

Y1 - 2016/12/1

N2 - A right liver graft with multiple hepatic artery (HA) stumps can be found in approximately 5% of living donor liver transplantation (LDLT) using a right lobe graft. From January 2000 to June 2014, 1149 patients underwent LDLT procedures. Thirty patients with LDLT using a right lobe graft with multiple HA stumps and 149 patients with LDLT using a right lobe graft with a single HA stump were enrolled. These patients were divided into 3 groups: single HA (group 1, n = 149), multiple HAs with total reconstruction (group 2, n = 19), and multiple HAs with selective partial reconstruction (group 3, n = 11). Selective partial reconstruction was performed only when pulsatile back-bleeding was confirmed after larger HA reconstruction and sufficient intrahepatic arterial flow was confirmed by Doppler ultrasound (DUS). In group 2, the donor HAs were smaller (P <.001), and HA reconstruction took longer (P <.001). However, there was no significant difference among the groups regarding the arterial complication rate, biliary complication rate, and patient and graft survival. In conclusion, selective partial reconstruction of HA stumps for LDLT using a right lobe graft was feasible when intrahepatic arterial communication was confirmed by pulsatile back-bleeding from the smaller artery and DUS. Liver Transplantation 22 1649–1655 2016 AASLD.

AB - A right liver graft with multiple hepatic artery (HA) stumps can be found in approximately 5% of living donor liver transplantation (LDLT) using a right lobe graft. From January 2000 to June 2014, 1149 patients underwent LDLT procedures. Thirty patients with LDLT using a right lobe graft with multiple HA stumps and 149 patients with LDLT using a right lobe graft with a single HA stump were enrolled. These patients were divided into 3 groups: single HA (group 1, n = 149), multiple HAs with total reconstruction (group 2, n = 19), and multiple HAs with selective partial reconstruction (group 3, n = 11). Selective partial reconstruction was performed only when pulsatile back-bleeding was confirmed after larger HA reconstruction and sufficient intrahepatic arterial flow was confirmed by Doppler ultrasound (DUS). In group 2, the donor HAs were smaller (P <.001), and HA reconstruction took longer (P <.001). However, there was no significant difference among the groups regarding the arterial complication rate, biliary complication rate, and patient and graft survival. In conclusion, selective partial reconstruction of HA stumps for LDLT using a right lobe graft was feasible when intrahepatic arterial communication was confirmed by pulsatile back-bleeding from the smaller artery and DUS. Liver Transplantation 22 1649–1655 2016 AASLD.

UR - https://www.scopus.com/pages/publications/84996549775

U2 - 10.1002/lt.24600

DO - 10.1002/lt.24600

M3 - Article

C2 - 27514322

AN - SCOPUS:84996549775

SN - 1527-6465

VL - 22

SP - 1649

EP - 1655

JO - Liver Transplantation

JF - Liver Transplantation

IS - 12

ER -

Outcome of living donor liver transplantation using right liver allografts with multiple arterial supply

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