Gruttadauria S, di Francesco F, Spada M, Milazzo M, Gridelli B. Different modalities of arterial reconstruction in hepatic retransplantation using right partial graft. World J Gastroenterol 2009; 15(26): 3322-3323 [PMID: 19598313 DOI: 10.3748/wjg.15.3322]
Corresponding Author of This Article
Salvatore Gruttadauria, MD, Associate Professor of Surgery, Department of Surgery, University of Pittsburgh, Coordinator Abdominal Adult Transplant ISMETT (Mediterranean Institute for Transplant and Advanced Specialized Therapies, University of Pittsburgh Medical Center in Italy, 90127 Palermo, Italy), ISMETT-UPMC Italy, Via E. Tricomi N. 1, 90127 Palermo, Italy. sgruttadauria@ismett.edu
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World J Gastroenterol. Jul 14, 2009; 15(26): 3322-3323 Published online Jul 14, 2009. doi: 10.3748/wjg.15.3322
Different modalities of arterial reconstruction in hepatic retransplantation using right partial graft
Salvatore Gruttadauria, Fabrizio di Francesco, Marco Spada, Mariapina Milazzo, Bruno Gridelli
Salvatore Gruttadauria, Marco Spada, Mariapina Milazzo, Bruno Gridelli, Fabrizio di Francesco, Mediterranean Institute for Transplant and Advanced Specialized Therapies, University of Pittsburgh Medical Center in Italy, 90127 Palermo, Italy
Author contributions: Gruttadauria S and Gridelli B designed the study; Gruttadauria S and di Francesco F wrote the paper; Spada M analyzed the data; Milazzo M collected the radiologic data.
Correspondence to: Salvatore Gruttadauria, MD, Associate Professor of Surgery, Department of Surgery, University of Pittsburgh, Coordinator Abdominal Adult Transplant ISMETT (Mediterranean Institute for Transplant and Advanced Specialized Therapies, University of Pittsburgh Medical Center in Italy, 90127 Palermo, Italy), ISMETT-UPMC Italy, Via E. Tricomi N. 1, 90127 Palermo, Italy. sgruttadauria@ismett.edu
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Received: April 22, 2009 Revised: June 12, 2009 Accepted: June 19, 2009 Published online: July 14, 2009
Abstract
Though split-liver and living-related transplantation are routinely performed, they are done almost exclusively for primary liver transplantation because of potential surgical difficulties. These difficulties are generally related to arterial revascularization, particularly if there is hepatic artery thrombosis. According to UNOS data, of the hepatic retransplantations performed between 1996 and 2007, only 8.7% were done using right or extended right grafts from deceased donors, and 14.3% using right grafts from live donors. Here we report our experience with 5 hepatic retransplantations in which right partial grafts resulting from conventional in situ splits, and one right lobe resulting from an adult-to-adult living-related transplant, were successfully used with different modalities of graft arterialization.
