Microsurgical reconstruction of hepatic artery in A-A LDLT: 124 consecutive cases without HAT

Table 1 Details of recipients and diagnostic indications (n = 182)

	n (%)
Female	25 (13.74)
Male	157 (86.26)
Age (yr)
18-60	173 (95.05)
60-69	9 (4.95)
Diagnostic indications
Liver cirrhosis	74 (40.66)
Hepatitis B	52 (28.57)
Hepatitis C	5 (2.75)
Cholestasis	5 (2.75)
Alcoholic	4 (2.20)
Others	8 (4.39)
Hepatic carcinoma	77 (42.31)
FIF	10 (5.49)
Acute-on-chronic hepatic failure	9 (4.94)
Budd-Chiari[19]	4 (2.20)
DI IBS	4 (2.20)
Post-trauma hepatic failure	1 (0.55)
Hepatic echinococcosis	2 (1.10)
Polycystic liver	1 (0.55)
MELD
1-13	86 (47.25)
14-24	63 (34.62)
≥ 25	33 (18.13)

FIF: Fulminant liver failure; DI IBS: Diffuse ischemic intrahepatic biliary stenosis; MELD: Model for end-stage liver disease.

Table 2 Details of dual donors

No.	Donor 1			Donor 2
	Gender	Age (yr)	Graft	Gender	Age (yr)	Graft
1	F	34	LL	F	31	LL
2	F	56	RL	M	27	Cadaveric LL
3	F	35	RL	M	55	LLS
4	F	29	RL	M	29	Cadaveric LL
5	M	42	RL	F	29	LL
6	M	58	LL	F	34	RL
71	M	45	RL	F	26	RL
8	F	34	RL	M	35	LL
9	F	20	RL	F	39	LLS
102	F	28	RL	F	28	RL

^1,2These donors donated their right lobes, respectively, the others donated right lobes without the middle hepatic vein. LL: Left lobe; RL: Right lobe; LLS: Left lateral segment.

Table 3 Details of hepatic arteries (n = 192)

	n (%)
RHA	62 (32.29)
LHA	20 (10.42)
PHA	90 (46.88)
CHA	14 (7.29)
Aberrant RHA1	2 (1.04)
AA	4 (2.08)

¹Aberrant right hepatic artery arising from superior mesenteric artery. Diameter of graft: mean (range), 1.91 (1.5-2.5) mm; diameter of recipient: mean (range), 2.12 (1.5-3.5) mm. RHA: Right hepatic artery; LHA: Left hepatic artery; PHA: Proper hepatic artery; CHA: Common hepatic artery; AA: Abdominal aorta.

Table 4 Management and outcome of HAT after A-A LDLT

Case	Gender	Age (yr)	Graft	Diagnosis and management time post A-A LDLT (d)	Management	Survival
1	Male	43	RL	1, 1	Revascularized	Alive
21	Male	57	RL + LLS	7, 7	Revascularized	Alive
3	Male	40	RL	3, 3	Medications	Dead
4	Female	33	RL	46	Observation	Alive

¹HAT occurred in right hepatic artery. HAT: Hepatic arterial thrombosis; A-A LDLT: Adult-to-adult living donor liver transplantation.