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World J Gastrointest Surg. Apr 27, 2026; 18(4): 117684
Published online Apr 27, 2026. doi: 10.4240/wjgs.v18.i4.117684
Published online Apr 27, 2026. doi: 10.4240/wjgs.v18.i4.117684
Vascular allocation between liver and pancreas allografts: A retrospective single-center study
Yang Xu, Xing-Hui Yu, Yu Cao, Jie Zhao, Department of Kidney Transplantation, Tianjin First Central Hospital, Tianjin 300192, China
Jun-Yan Zhang, Department of Liver Transplantation, First Central Hospital of Tianjin Medical University, Tianjin 300380, China
Yan Xie, Department of Liver Transplantation, Tianjin First Center Hospital, Tianjin 300192, China
Author contributions: Xu Y was responsible for collected data, and wrote the paper; Zhang JY, Yu XH, and Xie Y were the main persons in charge of the surgery of orthotopic liver transplantation; Zhang JY, Xie Y, Cao Y, and Zhao J were the main persons in charge of the surgery of simultaneous pancreas-kidney; Cao Y was analyzed data, and assisted with the data interpretation; Zhao J designed the research and helped with manuscript revisions; all of the authors read and approved the final version of the manuscript to be published.
Supported by Beijing Medical Award Foundation, No. YXJL-2025-0483-0212; Tianjin Science and Technology Plan Project, No. 24JCZDJC01380; and the Tianjin Key Medical Discipline Construction Project, No. TJYXZDXK-3-006A.
Institutional review board statement: The study was conducted in accordance with the Declaration of Helsinki, and the protocol was approved by the Ethics Committee of Tianjin First Central Hospital, No. YC-BY-LC-2025-025.
Informed consent statement: All participants provided informed consent.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing the manuscript.
STROBE statement: The authors have read the STROBE Statement – checklist of items, and the manuscript was prepared and revised according to the STROBE Statement – checklist of items.
Data sharing statement: The data that support the findings of this study are available from the authors upon request.
Corresponding author: Jie Zhao, Chief Physician, Department of Kidney Transplantation, Tianjin First Central Hospital, No. 24 Fukang Road, Nankai District, Tianjin 300192, China. zjsecond@aliyun.com
Received: December 15, 2025
Revised: January 10, 2026
Accepted: February 25, 2026
Published online: April 27, 2026
Processing time: 132 Days and 15.8 Hours
Revised: January 10, 2026
Accepted: February 25, 2026
Published online: April 27, 2026
Processing time: 132 Days and 15.8 Hours
Core Tip
Core Tip: In donation-after-brain-death donors, the celiac axis was allocated to the pancreas graft, with the gastroduodenal artery reconstructed for the pancreas. This strategy enabled successful liver and pancreas-kidney transplantation without increasing the risk of hepatic artery thrombosis or graft loss. Additionally, it facilitated faster normalization of liver enzymes, providing a safe vascular sharing approach for multi-organ procurement.