Modified sleeve anastomosis for reconstruction of the hepatic artery in rat liver transplantation
End‐to‐end sleeve anastomosis between a donor common hepatic artery and a recipient proper hepatic artery was proven to be the most physiological and simple method for hepatic rearterialization in rat liver transplantation. Current technical variants of the sleeve technique, however, are hampered by...
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| Veröffentlicht in: | Microsurgery 2002, Vol.22 (2), p.62-68 |
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| creator | Li, Jun Dahmen, Uta Dirsch, Olaf Shen, Kai Gu, Yanli Broelsch, Christoph Erich |
| description | End‐to‐end sleeve anastomosis between a donor common hepatic artery and a recipient proper hepatic artery was proven to be the most physiological and simple method for hepatic rearterialization in rat liver transplantation. Current technical variants of the sleeve technique, however, are hampered by the high rate of bleeding from the anastomotic site. This report deals with a technical modification which inhibits postoperative bleeding efficiently. The procedure consisted of a guiding suture, as previously described in other technical variants, and a modified fixing suture. Instead of using a single stitch to fix the feeding vessel with the receiving vessel, a running suture between the edge of the donor common hepatic artery and the adventitia of the recipient proper hepatic artery was performed to avoid a possible backflow. The patency rate of 91% was as high as reported by others using a sleeve technique, which was also reflected in the histomorphological picture, being indistinguishable from normal liver histology. This technical modification simplified the procedure of reconstructing the hepatic artery and could contribute to a wider use of the arterialized liver transplantation model in rats. © 2002 Wiley‐Liss, Inc. MICROSURGERY 22:62–68 2002 |
| doi_str_mv | 10.1002/micr.21726 |
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Current technical variants of the sleeve technique, however, are hampered by the high rate of bleeding from the anastomotic site. This report deals with a technical modification which inhibits postoperative bleeding efficiently. The procedure consisted of a guiding suture, as previously described in other technical variants, and a modified fixing suture. Instead of using a single stitch to fix the feeding vessel with the receiving vessel, a running suture between the edge of the donor common hepatic artery and the adventitia of the recipient proper hepatic artery was performed to avoid a possible backflow. The patency rate of 91% was as high as reported by others using a sleeve technique, which was also reflected in the histomorphological picture, being indistinguishable from normal liver histology. This technical modification simplified the procedure of reconstructing the hepatic artery and could contribute to a wider use of the arterialized liver transplantation model in rats. © 2002 Wiley‐Liss, Inc. MICROSURGERY 22:62–68 2002</description><identifier>ISSN: 0738-1085</identifier><identifier>EISSN: 1098-2752</identifier><identifier>DOI: 10.1002/micr.21726</identifier><identifier>PMID: 11921073</identifier><identifier>CODEN: MSRGDQ</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Anastomosis, Surgical ; Animals ; Biological and medical sciences ; Biopsy, Needle ; Combined surgery. Multiple transplantations ; Disease Models, Animal ; Graft Survival ; Hepatic Artery - pathology ; Hepatic Artery - surgery ; Liver Transplantation - methods ; Male ; Medical sciences ; Microsurgery - methods ; Rats ; Rats, Inbred Lew ; Reconstructive Surgical Procedures - methods ; Risk Assessment ; Sensitivity and Specificity ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Suture Techniques ; Treatment Outcome ; Vascular Patency</subject><ispartof>Microsurgery, 2002, Vol.22 (2), p.62-68</ispartof><rights>Copyright © 2002 Wiley‐Liss, Inc.</rights><rights>2002 INIST-CNRS</rights><rights>Copyright 2002 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4596-dbe12f701e20c28565ed365ad9fbcdf69a07c7f2282f197fdf6f4cc0be94a7163</citedby><cites>FETCH-LOGICAL-c4596-dbe12f701e20c28565ed365ad9fbcdf69a07c7f2282f197fdf6f4cc0be94a7163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmicr.21726$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmicr.21726$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,4010,27900,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13582039$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11921073$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Jun</creatorcontrib><creatorcontrib>Dahmen, Uta</creatorcontrib><creatorcontrib>Dirsch, Olaf</creatorcontrib><creatorcontrib>Shen, Kai</creatorcontrib><creatorcontrib>Gu, Yanli</creatorcontrib><creatorcontrib>Broelsch, Christoph Erich</creatorcontrib><title>Modified sleeve anastomosis for reconstruction of the hepatic artery in rat liver transplantation</title><title>Microsurgery</title><addtitle>Microsurgery</addtitle><description>End‐to‐end sleeve anastomosis between a donor common hepatic artery and a recipient proper hepatic artery was proven to be the most physiological and simple method for hepatic rearterialization in rat liver transplantation. Current technical variants of the sleeve technique, however, are hampered by the high rate of bleeding from the anastomotic site. This report deals with a technical modification which inhibits postoperative bleeding efficiently. The procedure consisted of a guiding suture, as previously described in other technical variants, and a modified fixing suture. Instead of using a single stitch to fix the feeding vessel with the receiving vessel, a running suture between the edge of the donor common hepatic artery and the adventitia of the recipient proper hepatic artery was performed to avoid a possible backflow. The patency rate of 91% was as high as reported by others using a sleeve technique, which was also reflected in the histomorphological picture, being indistinguishable from normal liver histology. This technical modification simplified the procedure of reconstructing the hepatic artery and could contribute to a wider use of the arterialized liver transplantation model in rats. © 2002 Wiley‐Liss, Inc. MICROSURGERY 22:62–68 2002</description><subject>Anastomosis, Surgical</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Biopsy, Needle</subject><subject>Combined surgery. Multiple transplantations</subject><subject>Disease Models, Animal</subject><subject>Graft Survival</subject><subject>Hepatic Artery - pathology</subject><subject>Hepatic Artery - surgery</subject><subject>Liver Transplantation - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microsurgery - methods</subject><subject>Rats</subject><subject>Rats, Inbred Lew</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Risk Assessment</subject><subject>Sensitivity and Specificity</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Suture Techniques</subject><subject>Treatment Outcome</subject><subject>Vascular Patency</subject><issn>0738-1085</issn><issn>1098-2752</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFvEzEQha0K1IbSS38A8qUckLaMvev1-lhFpVRKQEKgcrMc71g13V2ntlPIv8chgd44jTTzvXkzj5BzBpcMgL8fvY2XnEneHpEZA9VVXAr-gsxA1l3FoBMn5FVKPwBAKamOyQljirMynRGzDL13HnuaBsQnpGYyKYcxJJ-oC5FGtGFKOW5s9mGiwdF8j_Qe1yZ7S03MGLfUTzSaTAf_hJHmaKa0HsyUzU7ymrx0Zkh4dqin5NuH66_zj9Xi883t_GpR2UaotupXyLiTwJCD5Z1oBfZ1K0yv3Mr2rlUGpJWO8447pqQrLddYCytUjZGsrU_J2_3edQyPG0xZjz5ZHMohGDZJSybaBnhTwHd70MaQUkSn19GPJm41A70LVO8C1X8CLfCbw9bNasT-GT0kWICLA2CSNYMrz1ufnrladBxqVTi25376Abf_sdTL2_mXv-bVXuNTxl__NCY-6FbWUui7Tzd6Ad3y7juoYvUbqZGe0Q</recordid><startdate>2002</startdate><enddate>2002</enddate><creator>Li, Jun</creator><creator>Dahmen, Uta</creator><creator>Dirsch, Olaf</creator><creator>Shen, Kai</creator><creator>Gu, Yanli</creator><creator>Broelsch, Christoph Erich</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2002</creationdate><title>Modified sleeve anastomosis for reconstruction of the hepatic artery in rat liver transplantation</title><author>Li, Jun ; Dahmen, Uta ; Dirsch, Olaf ; Shen, Kai ; Gu, Yanli ; Broelsch, Christoph Erich</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4596-dbe12f701e20c28565ed365ad9fbcdf69a07c7f2282f197fdf6f4cc0be94a7163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Anastomosis, Surgical</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Biopsy, Needle</topic><topic>Combined surgery. Multiple transplantations</topic><topic>Disease Models, Animal</topic><topic>Graft Survival</topic><topic>Hepatic Artery - pathology</topic><topic>Hepatic Artery - surgery</topic><topic>Liver Transplantation - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microsurgery - methods</topic><topic>Rats</topic><topic>Rats, Inbred Lew</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Risk Assessment</topic><topic>Sensitivity and Specificity</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Suture Techniques</topic><topic>Treatment Outcome</topic><topic>Vascular Patency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Jun</creatorcontrib><creatorcontrib>Dahmen, Uta</creatorcontrib><creatorcontrib>Dirsch, Olaf</creatorcontrib><creatorcontrib>Shen, Kai</creatorcontrib><creatorcontrib>Gu, Yanli</creatorcontrib><creatorcontrib>Broelsch, Christoph Erich</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Microsurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Jun</au><au>Dahmen, Uta</au><au>Dirsch, Olaf</au><au>Shen, Kai</au><au>Gu, Yanli</au><au>Broelsch, Christoph Erich</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modified sleeve anastomosis for reconstruction of the hepatic artery in rat liver transplantation</atitle><jtitle>Microsurgery</jtitle><addtitle>Microsurgery</addtitle><date>2002</date><risdate>2002</risdate><volume>22</volume><issue>2</issue><spage>62</spage><epage>68</epage><pages>62-68</pages><issn>0738-1085</issn><eissn>1098-2752</eissn><coden>MSRGDQ</coden><abstract>End‐to‐end sleeve anastomosis between a donor common hepatic artery and a recipient proper hepatic artery was proven to be the most physiological and simple method for hepatic rearterialization in rat liver transplantation. Current technical variants of the sleeve technique, however, are hampered by the high rate of bleeding from the anastomotic site. This report deals with a technical modification which inhibits postoperative bleeding efficiently. The procedure consisted of a guiding suture, as previously described in other technical variants, and a modified fixing suture. Instead of using a single stitch to fix the feeding vessel with the receiving vessel, a running suture between the edge of the donor common hepatic artery and the adventitia of the recipient proper hepatic artery was performed to avoid a possible backflow. The patency rate of 91% was as high as reported by others using a sleeve technique, which was also reflected in the histomorphological picture, being indistinguishable from normal liver histology. This technical modification simplified the procedure of reconstructing the hepatic artery and could contribute to a wider use of the arterialized liver transplantation model in rats. © 2002 Wiley‐Liss, Inc. MICROSURGERY 22:62–68 2002</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>11921073</pmid><doi>10.1002/micr.21726</doi><tpages>7</tpages></addata></record> |
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| subjects | Anastomosis, Surgical Animals Biological and medical sciences Biopsy, Needle Combined surgery. Multiple transplantations Disease Models, Animal Graft Survival Hepatic Artery - pathology Hepatic Artery - surgery Liver Transplantation - methods Male Medical sciences Microsurgery - methods Rats Rats, Inbred Lew Reconstructive Surgical Procedures - methods Risk Assessment Sensitivity and Specificity Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Suture Techniques Treatment Outcome Vascular Patency |
| title | Modified sleeve anastomosis for reconstruction of the hepatic artery in rat liver transplantation |
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