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Techniques of hepatic arterial reconstruction in liver transplantation

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Abstract

Background

Hepatic artery reconstruction is an essential part of liver transplantation. This difficult stage of the operation is even more demanding in living donor liver transplantation than in deceased donor liver transplantation. One of the most important advances in hepatic artery reconstruction for living liver grafts was the introduction of microsurgical techniques involving an operative microscope or surgical loupe. Many surgical reconstruction techniques have been used in this field.

Purpose

In this article, first, we will talk about the hepatic artery reconstruction techniques that are frequently used in deceased donor liver transplantation, and afterward, we will talk about the hepatic artery reconstruction techniques used in living donor liver transplantation, which include the hepatic artery reconstruction technique we use and call “one stay corner suture technique”.

Conclusions

We think high-volume transplant centers should tend to develop a standardized technique for doing hepatic artery reconstruction with their teams. We think the “one stay corner suture technique” can be easily applied in centers that perform LDLT.

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References

  1. Inomoto T, Nishizawa F, Sasaki H, Terajima H, Shirakata Y, Miyamoto S, Nagata I, Fujimoto M, Moriyasu F, Tanaka K, Yamaoka Y (1996) Experiences of 120 microsurgical reconstructions of hepatic artery in living related liver transplantation. Surgery 119:20–26. https://doi.org/10.1016/s0039-6060(96)80208-x

    Article  CAS  PubMed  Google Scholar 

  2. Mori K, Nagata I, Yamagata S, Sasaki H, Nishizawa F, Takada Y, Moriyasu F, Tanaka K, Yamaoka Y, Kumada K (1992) The introduction of microvascular surgery to hepatic artery reconstruction in living-donor liver transplantation—its surgical advantages compared with conventional procedures. Transplantation 54:263–268. https://doi.org/10.1097/00007890-199208000-00014

    Article  CAS  PubMed  Google Scholar 

  3. Shackleton CR, Goss JA, Swenson K, Colquhoun SD, Seu P, Kinkhabwala MM, Rudich SM, Markowitz JS, McDiarmid SV, Busuttil RW (1997) The impact of microsurgical hepatic arterial reconstruction on the outcome of liver transplantation for congenital biliary atresia. Am J Surg 173:431–435. https://doi.org/10.1016/s0002-9610(97)00066-4

    Article  CAS  PubMed  Google Scholar 

  4. Yilmaz A, Arikan C, Tumgor G, Kilic M, Aydogdu S (2007) Vascular complications in living-related and deceased donation pediatric liver transplantation: single center’s experience from Turkey. Pediatr Transplant 11:160–164. https://doi.org/10.1111/j.1399-3046.2006.00601.x

    Article  PubMed  Google Scholar 

  5. Yilmaz S, Kirimlioglu V, Isik B, Yilmaz M, Kirimlioglu HS, Ara C, Sogutlu G, Battaloglu B, Katz DA (2005) Urgent revascularization of a liver allograft with a saphenous vein interposition graft between the hepatic artery and the recipient splenic artery after late hepatic artery thrombosis. Dig Dis Sci 50:1177–1180. https://doi.org/10.1007/s10620-005-2730-6

    Article  PubMed  Google Scholar 

  6. Raofi V, Cohn S, Koffron J, Koffron A (2012) Vascular and biliary anastomoses in deceased donor orthotopic liver transplantation. In: Abdeldayem H, Allam N (ed). Liver transplantation - technical issues and complications. London: IntechOpen, pp: 97–118. https://doi.org/10.5772/33305

  7. Warner P, Fusai G, Glantzounis GK, Sabin CA, Rolando N, Patch D, Sharma D, Davidson BR, Rolles K, Burroughs AK (2011) Risk factors associated with early hepatic artery thrombosis after orthotopic liver transplantation—univariable and multivariable analysis. Transpl Int 24:401–408. https://doi.org/10.1111/j.1432-2277.2010.01211.x

    Article  PubMed  Google Scholar 

  8. Li PC, Jeng LB, Yang HR, Lee CC, Poon KS, Chen TH, Yeh CC, Lai HC, Su WP, Peng CY, Chen YF, Ho YJ (2012) Hepatic artery reconstruction in living donor liver transplantation: running suture under surgical loupes by cardiovascular surgeons in 180 recipients. Transplant Proc 44:448–450. https://doi.org/10.1016/j.transproceed.2012.01.059

    Article  PubMed  Google Scholar 

  9. Coelho GR, Leitao AS Jr, Cavalcante FP, Brasil IR, Cesar-Borges G, Costa PE, Barros MA, Lopes PM, Nascimento EH, da Costa JI, Viana CF, Rocha TD, Vasconcelos JB, Garcia JH (2008) Continuous versus interrupted suture for hepatic artery anastomosis in liver transplantation: differences in the incidence of hepatic artery thrombosis. Transplant Proc 40:3545–3547. https://doi.org/10.1016/j.transproceed.2008.06.066

    Article  CAS  PubMed  Google Scholar 

  10. Yoon YI, Lee SG, Moon DB, Park GC, Ahn CS, Cho YP, Park JI (2021) Microsurgical hepatic artery reconstruction in deceased donor liver transplantation for reduced arterial complications. Transplant Proc 53:1645–1652. https://doi.org/10.1016/j.transproceed.2021.04.009

    Article  PubMed  Google Scholar 

  11. Kayaalp C, Tolan K, Yilmaz S (2016) Hepatoduodenal ligament dissection technique during recipient hepatectomy for liver transplantation: how I do it? World J Transplant 6:272–277. https://doi.org/10.5500/wjt.v6.i2.272

    Article  PubMed Central  PubMed  Google Scholar 

  12. Kutluturk K, Sahin TT, Karakas S, Unal B, Gozukara Bag HG, Akbulut S, Aydin C, Yilmaz S (2019) Early hepatic artery thrombosis after pediatric living donor liver transplantation. Transplant Proc 51:1162–1168. https://doi.org/10.1016/j.transproceed.2019.01.104

    Article  CAS  PubMed  Google Scholar 

  13. Li PC, Thorat A, Jeng LB, Yang HR, Li ML, Yeh CC, Chen TH, Hsu SC, Poon KS (2017) Hepatic artery reconstruction in living donor liver transplantation using surgical loupes: achieving low rate of hepatic arterial thrombosis in 741 consecutive recipients-tips and tricks to overcome the poor hepatic arterial flow. Liver Transpl 23:887–898. https://doi.org/10.1002/lt.24775

    Article  PubMed  Google Scholar 

  14. Yan S, Zhang QY, Yu YS, He JJ, Wang WL, Zhang M, Shen Y, Wu J, Xu X, Zheng SS (2009) Microsurgical reconstruction of hepatic artery in living donor liver transplantation: experiences and lessons. Hepatobiliary Pancreat Dis Int 8:575–580

    PubMed  Google Scholar 

  15. Cakir T, Sabuncuoglu MZ, Soyer V, Sarici B, Koc S, Onur A, Unal B, Akbulut S, Yilmaz S (2016) Use of the right lobe graft with double hepatic arteries in living-donor liver transplant. Exp Clin Transplant. https://doi.org/10.6002/ect.2015.0108

    Article  PubMed  Google Scholar 

  16. Balci D, Ahn C-S (2019) Hepatic artery reconstruction in living donor liver transplantation. Curr Opin Organ Transplant 24:631–636. https://doi.org/10.1097/MOT.0000000000000697

    Article  PubMed  Google Scholar 

  17. Luo Y, Zhao D, Zhang M, Zhou T, Qiu BJ, Zhang JJ, Xia Q (2017) Hepatic artery reconstruction using 3-in-1 segmental resection in pediatric living donor liver transplantation: a case report and literature review. Transplant Proc 49:1619–1623. https://doi.org/10.1016/j.transproceed.2017.01.076

    Article  CAS  PubMed  Google Scholar 

  18. Harada N, Yoshizumi T, Uchiyama H, Soejima Y, Ikegami T, Itoh S (2019) Impact of hepatic artery size mismatch between donor and recipient on outcomes after living-donor liver transplantation using the right lobe. Clin Transplant 33:e13444. https://doi.org/10.1111/ctr.13444

    Article  PubMed  Google Scholar 

  19. Uchiyama H, Hashimoto K, Hiroshige S, Harada N, Soejima Y, Nishizaki T, Shimada M, Suehiro T (2002) Hepatic artery reconstruction in living-donor liver transplantation: a review of its techniques and complications. Surgery 131:S200–S204. https://doi.org/10.1067/msy.2002.119577

    Article  PubMed  Google Scholar 

  20. Ince V, Ersan V, Karakas S, Kutluturk K, Karadag N, Kutlu R, Yilmaz S (2017) Does preoperative transarterial chemoembolization for hepatocellular carcinoma increase the incidence of hepatic artery thrombosis after living-donor liver transplant? Exp Clin Transplant 15:21–24. https://doi.org/10.6002/ect.TOND16.L7

    Article  PubMed  Google Scholar 

  21. Boeți MPS, Vladislav B, Shoaib S, Popescu I (2012) Arterial anastomosis in living donor liver transplantation. In: Abdeldayem H, Allam N (ed) Liver transplantation—technical issues and complications. London: IntechOpen, pp: 43–64. https://doi.org/10.5772/29162

  22. Guarrera JV, Sinha P, Lobritto SJ, Brown RS Jr, Kinkhabwala M, Emond JC (2004) Microvascular hepatic artery anastomosis in pediatric segmental liver transplantation: microscope vs loupe. Transpl Int 17:585–588. https://doi.org/10.1007/s00147-004-0782-8

    Article  PubMed  Google Scholar 

  23. Kim SJ, Yoon YC, Park JH, Oh DY, Yoo YK, Kim DG (2011) Hepatic artery reconstruction and successful management of its complications in living donor liver transplantation using a right lobe. Clin Transplant 25:929–938. https://doi.org/10.1111/j.1399-0012.2010.01385.x

    Article  CAS  PubMed  Google Scholar 

  24. CF Lee JC Lu A Zidan CS Lee TH Wu KM Chan WC Lee 2017 Microscope-assisted hepatic artery reconstruction in adult living donor liver transplantation—a review of 325 consecutive cases in a single center Clin Transplant 31. https://doi.org/10.1111/ctr.12879

  25. Uchiyama H, Shirabe K, Morita M, Kakeji Y, Taketomi A, Soejima Y, Yoshizumi T, Ikegami T, Harada N, Kayashima H, Morita K, Maehara Y (2012) Expanding the applications of microvascular surgical techniques to digestive surgeries: a technical review. Surg Today 42:111–120. https://doi.org/10.1007/s00595-011-0032-5

    Article  PubMed  Google Scholar 

  26. Miyagi S, Enomoto Y, Sekiguchi S, Kawagishi N, Sato A, Fujimori K, Satomi S (2008) Microsurgical back wall support suture technique with double needle sutures on hepatic artery reconstruction in living donor liver transplantation. Transplant Proc 40:2521–2522. https://doi.org/10.1016/j.transproceed.2008.07.033

    Article  CAS  PubMed  Google Scholar 

  27. Yamamoto Y, Sugihara T, Sasaki S, Furukawa H, Furukawa H, Okushiba S, Nohira K (1999) Microsurgical reconstruction of the hepatic and superior mesenteric arteries using a back wall technique. J Reconstr Microsurg 15:321–325. https://doi.org/10.1055/s-2007-1000109

    Article  CAS  PubMed  Google Scholar 

  28. Okazaki M, Asato H, Takushima A, Nakatsuka T, Sarukawa S, Inoue K, Harii K, Sugawara Y, Makuuchi M (2006) Hepatic artery reconstruction with double-needle microsuture in living-donor liver transplantation. Liver Transpl 12:46–50. https://doi.org/10.1002/lt.20550

    Article  PubMed  Google Scholar 

  29. Okochi M, Okochi H, Sakaba T, Ueda K (2019) Hepatic artery reconstruction in living donor liver transplantation: strategy of the extension of graft or recipient artery. J Plast Surg Hand Surg 53:216–220. https://doi.org/10.1080/2000656x.2019.1582426

    Article  PubMed  Google Scholar 

  30. Akbulut S, Sahin TT, Yilmaz S (2020) Comment on hepatic artery reconstruction in living donor liver transplantation: strategy of the extension of graft or recipient artery. J Plast Surg Hand Surg 54:261–262. https://doi.org/10.1080/2000656x.2020.1763374

    Article  PubMed  Google Scholar 

  31. Aktas S, Alkara U, Sevmis M, Kilercik H, Yıldız H, Sevmis S (2021) Analysis of hepatic arterial reconstruction technique using surgical loupes for living-donor liver transplantation: results from a single center. Transplant Proc 53:2929–2933. https://doi.org/10.1016/j.transproceed.2021.09.024

    Article  PubMed  Google Scholar 

  32. Marcos A, Killackey M, Orloff MS, Mieles L, Bozorgzadeh A, Tan HP (2003) Hepatic arterial reconstruction in 95 adult right lobe living donor liver transplants: evolution of anastomotic technique. Liver Transpl 9:570–574. https://doi.org/10.1053/jlts.2003.50093

    Article  PubMed  Google Scholar 

  33. Ikegami T, Masuda Y, Ohno Y, Urata K, Nakazawa Y, Miwa S, Hashikura Y, Miyagawa S (2008) Arterial reconstruction in a case of subintimal dissection of celiac arterial tributaries in living donor liver transplantation: a case report. Transplant Proc 40:3794–3796. https://doi.org/10.1016/j.transproceed.2008.06.083

    Article  CAS  PubMed  Google Scholar 

  34. Kasahara M, Sakamoto S, Ogawa K, Uryuhara K, Matsuoka J, Uchida Y, Ito T, Ueda M, Tanaka K (2005) The use of a mesenteric artery of Roux-en-Y limb for hepatic arterial reconstruction after living-donor liver transplantation. Transplantation 80:538

    PubMed  Google Scholar 

  35. Harashina T (1977) Use of the united suture in microvascular anastomoses. Plast Reconstr Surg 59:134–135. https://doi.org/10.1097/00006534-197701000-00030

    Article  CAS  PubMed  Google Scholar 

  36. Uchiyama H, Shirabe K, Taketomi A, Soejima Y, Yoshizumi T, Ikegami T, Harada N, Kayashima H, Maehara Y (2012) Microvascular hepatic artery reconstruction in living donor liver transplantation. In: Abdeldayem H, Allam N (ed). Liver transplantation—technical issues and complications. London: IntechOpen, pp: 65–80. https://doi.org/10.5772/28033

  37. Kumaran V, Kapoor S, Sable S, Nath B, Varma V (2021) The “W” technique: a safe and reproducible technique for hepatic artery reconstruction in living donor liver transplantation. Ann Transplant 26: e926979. https://doi.org/10.12659/aot.926979

  38. Tan EK, Tan BK, Fong HC, Chua D, Chew KY, Koh YX, Chung AY, Lee SY, Teo JY, Cheow PC, Chan CY, Goh BK, Jeyaraj PR (2021) Impact of microsurgical anastomosis of hepatic artery on arterial complications and survival outcomes after liver transplantation. Transplant Proc 53:65–72. https://doi.org/10.1016/j.transproceed.2020.08.017

    Article  PubMed  Google Scholar 

  39. Ng SW (2021) Hepatic artery anastomosis in liver transplantation. Ann Acad Med Singap 50:666–668. https://doi.org/10.47102/annals-acadmedsg.2021332

    Article  PubMed  Google Scholar 

  40. Tan BK, Fong HC, Tan EK, Raj JP (2021) Strategies for a successful hepatic artery anastomosis in liver transplantation: a review of 51 cases. Ann Acad Med Singap 50:679–685. https://doi.org/10.47102/annals-acadmedsg.2020635

    Article  PubMed  Google Scholar 

  41. Tzeng YS, Hsieh CB, Chen SG (2011) Continuous versus interrupted suture for hepatic artery reconstruction using a loupe in living-donor liver transplantation. Ann Transplant 16:12–15. https://doi.org/10.12659/aot.882213

    Article  PubMed  Google Scholar 

  42. Okochi M, Ueda K, Hirose T, Okochi H, Watanabe H, Suzuki Y, Kajikawa A (2010) A modified technique for hepatic artery reconstruction in living donor liver transplantation. Microsurgery 30:541–544. https://doi.org/10.1002/micr.20778

    Article  PubMed  Google Scholar 

  43. Li PC, Thorat A, Jeng LB (2017) Reply. Liver Transpl 23:1083–1084. https://doi.org/10.1002/lt.24792

    Article  PubMed  Google Scholar 

  44. Marubashi S, Kobayashi S, Wada H, Kawamoto K, Eguchi H, Doki Y, Mori M, Nagano H (2013) Hepatic artery reconstruction in living donor liver transplantation: risk factor analysis of complication and a role of MDCT scan for detecting anastomotic stricture. World J Surg 37:2671–2677. https://doi.org/10.1007/s00268-013-2188-1

    Article  PubMed  Google Scholar 

  45. Yang Y, Yan LN, Zhao JC, Ma YK, Huang B, Li B, Wen TF, Wang WT, Xu MQ, Yang JY (2010) Microsurgical reconstruction of hepatic artery in A-A LDLT: 124 consecutive cases without HAT. World J Gastroenterol 16:2682–2688. https://doi.org/10.3748/wjg.v16.i21.2682

    Article  PubMed Central  PubMed  Google Scholar 

  46. Lin TS, Chiang YC (2000) Combined microvascular anastomosis: experimental and clinical experience. Ann Plast Surg 45:280–283. https://doi.org/10.1097/00000637-200045030-00010

    Article  CAS  PubMed  Google Scholar 

  47. Broelsch CE, Whitington PF, Emond JC, Heffron TG, Thistlethwaite JR, Stevens L, Piper J, Whitington SH, Lichtor JL (1991) Liver transplantation in children from living related donors. Surg tech results Ann Surg 214:428–437. https://doi.org/10.1097/00000658-199110000-00007

    Article  CAS  Google Scholar 

  48. Millis JM, Cronin DC, Brady LM, Newell KA, Woodle ES, Bruce DS, Thistlethwaite JR, Broelsch CE (2000) Primary living-donor liver transplantation at the University of Chicago: technical aspects of the first 104 recipients. Ann Surg 232:104–111. https://doi.org/10.1097/00000658-200007000-00015

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  49. Feng MX, Zhang JX, Wan P, Qiu BJ, Gu LH, Zhang JJ, Xia Q (2020) Hepatic artery reconstruction in pediatric liver transplantation: experience from a single group. Hepatobiliary Pancreat Dis Int 19:307–310. https://doi.org/10.1016/j.hbpd.2020.06.014

    Article  PubMed  Google Scholar 

  50. Song S, Kwon CH, Moon HH, Lee S, Kim JM, Joh JW, Lee SK (2015) Single-center experience of consecutive 522 cases of hepatic artery anastomosis in living-donor liver transplantation. Transplant Proc 47:1905–1911. https://doi.org/10.1016/j.transproceed.2015.06.014

    Article  CAS  PubMed  Google Scholar 

  51. Banshodani M, Tashiro H, Onoe T, Ide K, Ohdan H (2011) Long-term outcome of hepatic artery reconstruction during living-donor liver transplantation. Transplant Proc 43:1720–1724. https://doi.org/10.1016/j.transproceed.2011.03.051

    Article  CAS  PubMed  Google Scholar 

  52. Iida T, Kaido T, Yagi S, Hori T, Uchida Y, Jobara K, Tanaka H, Sakamoto S, Kasahara M, Ogawa K, Ogura Y, Mori A, Uemoto S (2014) Hepatic arterial complications in adult living donor liver transplant recipients: a single-center experience of 673 cases. Clin Transplant 28:1025–1030. https://doi.org/10.1111/ctr.12412

    Article  CAS  PubMed  Google Scholar 

  53. Yagi T, Shinoura S, Umeda Y, Sato D, Yoshida R, Yoshida K, Utsumi M, Nobuoka D, Sadamori H, Fujiwara T (2012) Surgical rationalization of living donor liver transplantation by abolition of hepatic artery reconstruction under a fixed microscope. Clin Transplant 26:877–883. https://doi.org/10.1111/j.1399-0012.2012.01651.x

    Article  PubMed  Google Scholar 

  54. Nickel KJ, Staples J, Meeberg G, Kwan PO, Gilmour S, Bigam DL, Dajani K, Shapiro AMJ, Kneteman NM, Ladak A (2021) The transition to microsurgical technique for hepatic artery reconstruction in pediatric liver transplantation. Plast Reconstr Surg 148:248e–257e. https://doi.org/10.1097/prs.0000000000008169

    Article  CAS  PubMed  Google Scholar 

  55. Kantar RS, Berman ZP, Diep GK, Ramly EP, Alfonso AR, Sosin M, Lee ZH, Rifkin WJ, Kaoutzanis C, Yu JW, Ceradini DJ, Dagher NN, Levine JP (2021) Hepatic artery microvascular anastomosis in liver transplantation: a systematic review of the literature. Ann Plast Surg 86:96–102. https://doi.org/10.1097/sap.0000000000002486

    Article  CAS  PubMed  Google Scholar 

  56. Dziodzio T, Martin F, Gül-Klein S, Globke B, Ritschl PV, Jara M, Hillebrandt KH, Nösser M, Koulaxouzidis G, Fehrenbach U, Gratopp A, Henning S, Bufler P, Schöning W, Schmelzle M, Pratschke J, Witzel C, Öllinger R (2022) Hepatic artery reconstruction using an operating microscope in pediatric liver transplantation—is it worth the effort? Pediatr Transplant 26:e14188. https://doi.org/10.1111/petr.14188

    Article  PubMed  Google Scholar 

  57. Lin TS, Vishnu Prasad NR, Chen CL, Yang JC, Chiang YC, Kuo PJ, Wang CC, Wang SH, Liu YW, Yong CC, Cheng YF (2019) What happened in 133 consecutive hepatic artery reconstruction in liver transplantation in 1 year? Hepatobiliary Surg Nutr 8:10–18. https://doi.org/10.21037/hbsn.2018.11.13

    Article  PubMed Central  PubMed  Google Scholar 

  58. Akbulut S, Kutluturk K, Yilmaz S (2021) Hepatic artery reconstruction technique in liver transplantation: experience with 3,000 cases. Hepatobiliary Surg Nutr 10:281. https://doi.org/10.21037/hbsn-21-2

    Article  PubMed Central  PubMed  Google Scholar 

  59. Enne M, Pacheco-Moreira L, Balbi E, Cerqueira A, Alves J, Valladares MA, Santalucia G, Martinho JM (2010) Hepatic artery reconstruction in pediatric living donor liver transplantation under 10 kg, without microscope use. Pediatr Transplant 14:48–51. https://doi.org/10.1111/j.1399-3046.2009.01219.x

    Article  PubMed  Google Scholar 

  60. Seo CH, Ahn J, You YK, Choi HJ (2021) Single-center experience with hepatic artery reconstruction during living donor liver transplantation: microscope versus surgical loupe. Ann Transplant 26:e933371. https://doi.org/10.12659/aot.933371

    Article  PubMed Central  PubMed  Google Scholar 

  61. Park GC, Moon DB, Kang SH, Ahn CS, Hwang S, Kim KH, Ha TY, Song GW, Jung DH, Yoon YI, Lee SG (2019) Overcoming hepatic artery thrombosis after living donor liver transplantations: an experience from Asan Medical Center. Ann Transplant 24:588–593. https://doi.org/10.12659/aot.919650

    Article  PubMed Central  PubMed  Google Scholar 

  62. Salvalaggio PR, Modanlou KA, Edwards EB, Harper AM, Abecassis MM (2007) Hepatic artery thrombosis after adult living donor liver transplantation: the effect of center volume. Transplantation 84:926–928. https://doi.org/10.1097/01.tp.0000281554.00247.92

    Article  PubMed  Google Scholar 

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  1. Department of Surgery and Liver Transplant Institute, Faculty of Medicine, Inonu University, Elazig Yolu 10. Km, 44280, Malatya, Turkey

    Sezai Yilmaz, Koray Kutluturk, Sertac Usta & Sami Akbulut

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SY—contribution to text supervision, review of search, analysis of results, and review of the article. SA—supervision and review of search, analysis of results, and review of the article. SU—drawing the pictures, review of search results, and review of the article. KK—systematic search, and composition of the article.

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Yilmaz, S., Kutluturk, K., Usta, S. et al. Techniques of hepatic arterial reconstruction in liver transplantation. Langenbecks Arch Surg 407, 2607–2618 (2022). https://doi.org/10.1007/s00423-022-02659-6

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