关键词: 肝移植, 供肝, 修整, 肝动脉, 解剖变异

Abstract:

Objective　To discuss the experience about preventing hepatic artery injury during hepatic graft repair.　Methods　From Aug. 2004 to Nov. 2010, 202 patients received liver graft were retrospectively summarized, including the variations of hepatic arteries of the donor livers and the methods of preventing hepatic artery injury.　Results　The aberration rate of hepatic artery was rather higher. 44 out of 202 hepatic arteries varied and 10 were injuried during the repair process.　Conclusions　Most aberrant liver arteries come from superiormesenteric artery or left gastric artery. The presence of hepatic artery variations increased the risk of injury. The gastroduodenal artery approach may be effective in preventing hepatic artery.

Key words: Liver graft, Donor liver, Repair, Hepatic artery, Anatomic variation