Transplantation Technologies & Research

Shigehito Miyagi

Publications

• Case Report
  The Reconstruction of Hepatic Arteries Using Extra-Anatomical Free Autografts in Living Donor Liver Transplantation
  Author(s): Shigehito Miyagi, Kenji Shimizu, Koji Miyazawa, Yuta Kakizaki, Atsushi Fujio, Yasuyuki Hara, Chikashi Nakanishi, Hitoshi Goto, Takashi Kamei, Naoki Kawagishi, Noriaki Ohuchi and Susumu SatomiShigehito Miyagi, Kenji Shimizu, Koji Miyazawa, Yuta Kakizaki, Atsushi Fujio, Yasuyuki Hara, Chikashi Nakanishi, Hitoshi Goto, Takashi Kamei, Naoki Kawagishi, Noriaki Ohuchi and Susumu Satomi
  
  Objectives: In living-donor liver transplantation (LDLT), microsurgical reconstruction of a hepatic artery is essential but requires challenging techniques, because graft arteries are short and usable vessel grafts are limited. Furthermore, hepatic artery thrombosis can be a lethal complication. Extra-anatomical jump graft reconstruction using free grafts is reported to have a high reocclusion rate. However, this technique is necessary when there is no other option. We report 4 cases of LDLT that required extra-anatomical reconstruction technique using free autografting from the aorta to the hepatic artery. In this technique, we used the systemic administration of gabexate mesilate that is the strong serine protease inhibitor. Methods: From 1991 to 2015, we performed 164 LDLTs. We retrospectively investigated 4 cases of extraanatomical reconst.. Read More»
  DOI: 10.4172/2161-0991.1000157

  Abstract PDF