Using the Splenic Artery for Liver Transplant Surgery
Author Information
Author(s): Hamed Hosam, Elshobary Mohamed, Salah Tarek, Sultan Ahmad M., Abou El-Magd El-sayed, Elsabbagh Ahmed M., Shehta Ahmed, Abdulrazek Mohamed, Elsarraf Waleed, Elmorshedi Mohamed A., Abdelkhalek Mostafa, Shiha Usama, El Razek Hassan Magdy Abd, Wahab Mohamed Abdel
Primary Institution: Mansoura University, Mansoura, Dakahleyya, Egypt
Hypothesis
Is the splenic artery a safe and effective option for hepatic arterial reconstruction in living donor liver transplantation?
Conclusion
The splenic artery is a viable conduit for hepatic arterial reconstruction in living donor liver transplantation, showing an acceptable safety profile and complication rates.
Supporting Evidence
- The splenic artery was used in 70% of cases due to arterial dissection.
- Post-operative complications included biliary leakage, pancreatitis, intraabdominal hemorrhage, and arterial thrombosis, each occurring in 10% of patients.
- Mortality was 30%, with causes including thrombosis and sepsis-related complications.
- At a median follow-up of 43 months, the survival rate was 70%.
Takeaway
Doctors can use the splenic artery to help with liver transplants when the usual arteries are not working well, and it seems to be a safe option.
Methodology
This was a retrospective cohort study of 10 patients who underwent splenic artery transposition for hepatic arterial reconstruction during liver transplantation.
Limitations
The study is limited by its small sample size and single-center scope.
Participant Demographics
The cohort included 6 men (60%) and 4 women (40%), with a median age of 50.5 years.
Statistical Information
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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