Abstract
AIM: To explore the management of hepatic arterial variants in living donor liver transplantation. METHODS: A retrospective analysis was made in management of hepatic arterial variants in two cases of living donor liver transplantations. The experience of management was summarized up in the study. RESULTS: CTA was a simple but effective approach to evaluating the hepatic artery before operation. Under the circumstance of hepatic arterial variants or quite small artery diameter, the quality of artery anastomosis could be strengthened through fully removing a piece of hepatic artery and anastomosis was conducted with hepatic artery from liver donor under powerful microscope. CTA was benefi cial to describe the situation of hepatic artery in the case of poor results detected with ultrasound due to postoperative epigastric distension. Hepatic artery thrombosis should be avoided if anti-coagulation was well prepared pre-operatively. CONCLUSION: Pre-operative valuation of hepatic artery, the highly qualif ied anastomosis and anticoagulation are important factors in prevention of postoperative hepatic arterial complications.
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