Hepatic artery reconstruction in living donor liver transplantation

PURPOSE OF REVIEW: Arterial reconstruction in living donor liver transplantation is a technically complex and challenging procedure, requiring expertise handling multiple factors associated with successful outcomes. This review describes and discusses the current methods of arterial reconstruction in living donor liver transplantation. RECENT FINDINGS: Arterial reconstruction in living donor liver transplantation requires multiple modifications of standard anastomosis techniques, including familiarity with alternative methods of arterial reconstruction including technical variants of anastomoses. We herein describe how these methods are employed in microsurgical techniques, the newer alternatives as well as decision-making on graft-recipient vessel matching and its complications. SUMMARY: This review provides comprehensive discussion of surgical techniques for arterial reconstruction in living donor liver transplant recipients.