Early bifurcation of hepatic artery in right-sided living-donor hepatectomy at Asan Medical Center: rarely a critical issue  

作　　者：Deok-Bog Moon Gil-Chun Park Sang Hoon Kim Sung-Min Kim 

机构地区：[1]Division of Hepatobiliary Surgery and Liver Transplantation,Department of Surgery,Asan Medical Center,University of Ulsan College of Medicine,Seoul,Korea

出　　处：《Hepatobiliary Surgery and Nutrition》2024年第3期520-522,共3页肝胆外科与营养（英文）

摘　　要：In living donor liver transplantation(LDLT),early bifurcation of hepatic artery(HA)relative to the cutting line of bile duct(BD)requires additional skeletonization of the hilar plate,especially around BD,compared to opposite condition.Subsequently,it may preclude higher chances of biliary complications such as bile leak and biliary stenosis in the donor.Hence,donor surgeons should be well aware of the anatomical correlations among HA,BD,and portal vein(PV),based on preoperative 3-dimensional(3D)images,and also intraoperatively perform meticulous dissection of HA from the surrounding tissues and minimize the damage of microcirculation to the BD without using energy devices such as electrocautery(1).When extensive dissection around BD&its ischemic damage in the donor is expected to obtain single HA opening of the harvesting graft,we prefer separate two HA openings including right anterior and posterior HAs to single right HA(RHA)opening without skeletonization of donor’s BD.

关 键 词：Living donor liver transplantation(LDLT) hepatic artery(HA) early bifurcation right-sided living-donor 

分 类 号：R657.3[医药卫生—外科学]