Short- and long-term outcomes of arterial reconstruction on recipient splenic artery in adult liver transplantation. Single-center prospective study 25 years after first description
Corresponding Author
Laura Llado
Liver Transplant Unit, Department of Surgery, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Correspondence
Laura Llado PhD, Liver Transplant Unit, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain.
Tel.: (+34) 93 260 7940;
fax: (+34) 93 260 7603;
e-mail: [email protected]
Search for more papers by this authorEmilio Ramos
Liver Transplant Unit, Department of Surgery, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorAlex Bravo
Liver Transplant Unit, Department of Surgery, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorCarme Baliellas
Liver Transplant Unit, Department of Gastroenterology, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorKristel Mils
Liver Transplant Unit, Department of Surgery, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorJuli Busquets
Liver Transplant Unit, Department of Surgery, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorAlba Cachero
Liver Transplant Unit, Department of Gastroenterology, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorLluis Secanella
Liver Transplant Unit, Department of Surgery, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorNuria Pelaez
Liver Transplant Unit, Department of Surgery, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorEmma Gonzalez-Vilatarsana
Liver Transplant Unit, Department of Clinical Nurse Specialist, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorJoan Fabregat
Liver Transplant Unit, Department of Surgery, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorCorresponding Author
Laura Llado
Liver Transplant Unit, Department of Surgery, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Correspondence
Laura Llado PhD, Liver Transplant Unit, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain.
Tel.: (+34) 93 260 7940;
fax: (+34) 93 260 7603;
e-mail: [email protected]
Search for more papers by this authorEmilio Ramos
Liver Transplant Unit, Department of Surgery, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorAlex Bravo
Liver Transplant Unit, Department of Surgery, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorCarme Baliellas
Liver Transplant Unit, Department of Gastroenterology, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorKristel Mils
Liver Transplant Unit, Department of Surgery, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorJuli Busquets
Liver Transplant Unit, Department of Surgery, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorAlba Cachero
Liver Transplant Unit, Department of Gastroenterology, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorLluis Secanella
Liver Transplant Unit, Department of Surgery, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorNuria Pelaez
Liver Transplant Unit, Department of Surgery, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorEmma Gonzalez-Vilatarsana
Liver Transplant Unit, Department of Clinical Nurse Specialist, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorJoan Fabregat
Liver Transplant Unit, Department of Surgery, IDIBELL, Hospital Universitari de Bellvitge, Barcelona, Spain
Search for more papers by this authorSummary
Several techniques have been proposed for liver transplantation with inadequate hepatic artery (HA) anastomosis. We aimed to analyze outcomes of arterial reconstruction with the splenic artery (SA). This was a prospective study of our experience with recipients who underwent arterial anastomosis on the SA compared with patients who underwent standard HA. We included 54 patients in the SA group and 1405 in the HA group. Patients in SA group were more frequently retransplantation (31% vs. 8%; P = 0.001), required more transfusion (11 ± 12 vs. 6 ± 9.9 PRC; P = 0.001), had longer surgeries (424 ± 95 vs. 394 ± 102 min; P = 0.03), and longer hospital stays (28 ± 29 vs. 20 ± 18 days; P = 0.002). There were no differences in vascular and biliary complications (15% and 7%; P = 0.18; and 32% and 23%; P = 0.32), primary dysfunction (11% and 9%; P = 0.74), reoperation (12% and 10%; P = 0.61), postoperative mortality (13% and 7%; P = 0.12) and 5 years survival (66% vs. 63%; P = 0.71). Following primary transplantation, there were no differences. The outcomes of arterial reconstruction using the recipients' SA in adult liver transplantation are comparable to those for standard HA reconstruction after a first transplant.
Conflict of interest
The authors have declared no conflict of interest.
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