ArticleWorld journal of surgery2020
Impact of Hepatic Artery Variations and Reconstructions on the Outcome of Orthotopic Liver Transplantation.
Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Anastomosis selection in liver transplantation for recipients with unusable recipient hepatic arteries: a bayesian network meta-analysis.BMC surgery · 2024Pooled it
- Evaluating the surgical and oncological outcomes of hepatic artery variations in minimally invasive pancreaticoduodenectomy: insights from 2023 data at a high-volume pancreatic center.World journal of surgical oncology · 2025Article
- Anatomical variations of hepatic arteries: implications for clinical practice.Frontiers in surgery · 2025Review
- Chinese clinical practice guidelines for pediatric split liver transplantation.Liver research (Beijing, China) · 2024Article
- A novel proceduralized donor liver back-table preparation technique minimizes hemorrhage following liver implantation in orthotropic liver transplantation.Frontiers in surgery · 2024Article
- Donor hepatic artery reconstruction based on human embryology: A case report.World journal of gastrointestinal surgery · 2023Article
- A portal quadrad with triple hepatic arteries.Anatomy & cell biology · 2023Article
- Effect of accessory hepatic artery reconstruction on prognosis in orthotopic liver transplantation: a single center experience.BMC surgery · 2023Article
- Importance of Anatomical Variation of the Hepatic Artery for Complicated Liver and Pancreatic Surgeries: A Review Emphasizing Origin and Branching.Diagnostics (Basel, Switzerland) · 2023Review
- Outcomes in Adult Liver Transplant Recipients Using Pediatric Deceased Donor Liver Grafts.Transplantation direct · 2022Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDonor variational arteries often require complex reconstruction.
methodsWe analysed the incidence of different variations, types of arterial reconstructions and their impact on post-operative results from 409 patients undergoing liver transplantation at Karolinska Institute between 2007 and 2015.
resultsA total of 292 (71.4%) liver grafts had a standard hepatic artery (SHA), and 117 (28.6%) showed hepatic artery variants (HAV). 58% of HAV needed reconstruction. The main variations were variant left hepatic artery (45.3%) from the gastric artery; variant right hepatic artery (38.5%); and a triple combination of variant right and left hepatic artery and the proper hepatic artery from the common hepatic artery (12.8%); other 3.4%. Patients/graft survival and arterial complications were not different between SHA and HAV. Incidence of biliary stricture was numerically higher in left hepatic artery variants (p = 0.058) and in variants where no arterial reconstruction was performed (p = 0.001). Operation and arterial warm ischaemia time were longer in the HAV group. The need for intraoperative re-reconstruction was higher in the HAV group (p = 0.04). Intraoperative bleeding was larger after back-table reconstruction than with intraoperative reconstruction (p = 0.04).
conclusionNo overall differences were found between the HAV and the SHA groups. Occurrence of a variant left hepatic artery and HAV with no reconstruction seems to increase the risk of biliary strictures.
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