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Donor hepatic artery reconstruction based on human embryology: A case report
BACKGROUND: Embryonic hepatic artery anatomy simplifies its identification during liver transplantation. Injuries to the donor hepatic artery can cause complications in this process. The hepatic artery's complex anatomy in adults makes this step challenging; however, during embryonic developmen...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10494588/ https://www.ncbi.nlm.nih.gov/pubmed/37701685 http://dx.doi.org/10.4240/wjgs.v15.i8.1825 |
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author | Zhang, He-Zhao Lu, Jun-Hui Shi, Zhi-Yong Guo, Ya-Rong Shao, Wen-Hao Meng, Fan-Xiu Zhang, Rui Zhang, An-Hong Xu, Jun |
author_facet | Zhang, He-Zhao Lu, Jun-Hui Shi, Zhi-Yong Guo, Ya-Rong Shao, Wen-Hao Meng, Fan-Xiu Zhang, Rui Zhang, An-Hong Xu, Jun |
author_sort | Zhang, He-Zhao |
collection | PubMed |
description | BACKGROUND: Embryonic hepatic artery anatomy simplifies its identification during liver transplantation. Injuries to the donor hepatic artery can cause complications in this process. The hepatic artery's complex anatomy in adults makes this step challenging; however, during embryonic development, the artery and its branches have a simpler relationship. By restoring the embryonic hepatic artery anatomy, surgeons can reduce the risk of damage and increase the procedure's success rate. This approach can lead to improved patient outcomes and lower complication rates. CASE SUMMARY: In this study, we report a case of donor liver preparation using a donor hepatic artery preparation based on human embryology. During the preparation of the hepatic artery, we restored the anatomy of the celiac trunk, superior mesenteric artery, and their branches to the state of the embryo at 5 wk. This allowed us to dissect the variant hepatic artery from the superior mesenteric artery and left gastric artery during the operation. After implanting the donor liver into the recipient, we observed normal blood flow in the donor hepatic artery, main hepatic artery, and variant hepatic artery, without any leakage. CONCLUSION: Donor hepatic artery preparation based on human embryology can help reduce the incidence of donor hepatic artery injuries during liver transplantation. |
format | Online Article Text |
id | pubmed-10494588 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-104945882023-09-12 Donor hepatic artery reconstruction based on human embryology: A case report Zhang, He-Zhao Lu, Jun-Hui Shi, Zhi-Yong Guo, Ya-Rong Shao, Wen-Hao Meng, Fan-Xiu Zhang, Rui Zhang, An-Hong Xu, Jun World J Gastrointest Surg Case Report BACKGROUND: Embryonic hepatic artery anatomy simplifies its identification during liver transplantation. Injuries to the donor hepatic artery can cause complications in this process. The hepatic artery's complex anatomy in adults makes this step challenging; however, during embryonic development, the artery and its branches have a simpler relationship. By restoring the embryonic hepatic artery anatomy, surgeons can reduce the risk of damage and increase the procedure's success rate. This approach can lead to improved patient outcomes and lower complication rates. CASE SUMMARY: In this study, we report a case of donor liver preparation using a donor hepatic artery preparation based on human embryology. During the preparation of the hepatic artery, we restored the anatomy of the celiac trunk, superior mesenteric artery, and their branches to the state of the embryo at 5 wk. This allowed us to dissect the variant hepatic artery from the superior mesenteric artery and left gastric artery during the operation. After implanting the donor liver into the recipient, we observed normal blood flow in the donor hepatic artery, main hepatic artery, and variant hepatic artery, without any leakage. CONCLUSION: Donor hepatic artery preparation based on human embryology can help reduce the incidence of donor hepatic artery injuries during liver transplantation. Baishideng Publishing Group Inc 2023-08-27 2023-08-27 /pmc/articles/PMC10494588/ /pubmed/37701685 http://dx.doi.org/10.4240/wjgs.v15.i8.1825 Text en ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
spellingShingle | Case Report Zhang, He-Zhao Lu, Jun-Hui Shi, Zhi-Yong Guo, Ya-Rong Shao, Wen-Hao Meng, Fan-Xiu Zhang, Rui Zhang, An-Hong Xu, Jun Donor hepatic artery reconstruction based on human embryology: A case report |
title | Donor hepatic artery reconstruction based on human embryology: A case report |
title_full | Donor hepatic artery reconstruction based on human embryology: A case report |
title_fullStr | Donor hepatic artery reconstruction based on human embryology: A case report |
title_full_unstemmed | Donor hepatic artery reconstruction based on human embryology: A case report |
title_short | Donor hepatic artery reconstruction based on human embryology: A case report |
title_sort | donor hepatic artery reconstruction based on human embryology: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10494588/ https://www.ncbi.nlm.nih.gov/pubmed/37701685 http://dx.doi.org/10.4240/wjgs.v15.i8.1825 |
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