Skip to main content
SpringerLink
Log in

An Alternative Technique for Harvesting Marginal Liver Grafts with a Replaced or Accessory Right Hepatic Artery

  • Innovative Surgical Techniques Around the World
  • Published:
World Journal of Surgery Aims and scope Submit manuscript

Abstract

The presence of a replaced or accessory right hepatic artery (R/A RHA) originating from the superior mesenteric artery represents one of the most common anatomical vascular variants of the hepatic artery and comprises the most frequently injured vessels during liver harvesting. Vascular arterial injuries following liver procurement are associated with decreased patient and graft survival and higher retransplantation rates. We describe an alternative technique for harvesting marginal liver grafts with replaced or accessory right hepatic arteries in the absence of pancreatic procurement. The entire procedure is divided and schematically described in six steps for didactical purposes. This technique has been used in 72 liver harvests over a three-year period with no R/A RHA injury. The technical advantages and limitations of this alternative method are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Nijkamp DM, Slooff MJ, van der Hilst CS et al (2006) Surgical injuries of postmortem donor livers: incidence and impact on outcome after adult liver transplantation. Liver Transpl 12:1365–1370

    Article  PubMed  Google Scholar 

  2. Ausania F, Al-Ghnaniem R, Jamieson NV, Praseedom RK (2012) Clinical impact of right accessory hepatic artery injury in deceased donor livers. J Hepatobiliary Pancreat Sci 19:656–660

    Article  PubMed  Google Scholar 

  3. Starzl TE, Hakala TR, Shaw BW Jr et al (1984) A flexible procedure for multiple cadaveric organ procurement. Surg Gynecol Obstet 158:223–230

    CAS  PubMed Central  PubMed  Google Scholar 

  4. Starzl TE, Miller C, Broznick B, Makowka L (1987) An improved technique for multiple organ harvesting. Surg Gynecol Obstet 165:343–348

    CAS  PubMed Central  PubMed  Google Scholar 

  5. Jah A, Jamieson N, Huguet E, Praseedom R (2009) The implications of the presence of an aberrant right hepatic artery in patients undergoing a pancreaticoduodenectomy. Surg Today 39:669–674

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors have no conflicts of interest or financial ties to disclose.

Author information

Authors and Affiliations

  1. Hepato-Pancreato-Biliary Surgery and Liver Transplantation, Pôle des Pathologies Digestives, Hépatiques et de la Transplantation, Hôpital de Hautepierre-Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, 1, Avenue Molière, 67098, Strasbourg, France

    Pietro Addeo & Philippe Bachellier

  2. Department of Digestive Surgery, Hospital Saint-Eloi, 80, Avenue Auguste Fliche, 34295, Chu Montpellier, France

    Regis Souche

Authors
  1. Pietro Addeo
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Regis Souche
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Philippe Bachellier
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Pietro Addeo.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Addeo, P., Souche, R. & Bachellier, P. An Alternative Technique for Harvesting Marginal Liver Grafts with a Replaced or Accessory Right Hepatic Artery. World J Surg 39, 1828–1831 (2015). https://doi.org/10.1007/s00268-015-3018-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00268-015-3018-4

Keywords

Search

Navigation