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논문 기본 정보

자료유형
학술저널
저자정보
Young-Dong Yu (Korea University) Dong-Sik Kim (Korea University) Geon-Young Byun (Korea University) Sung-Ock Suh (Korea University)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.83 No.4
발행연도
2012.10
수록면
246 - 249 (4page)

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초록· 키워드

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It is important that extrahepatic arteries are identified precisely at the time of graft procurement. We present a case where the accessory right hepatic artery of the liver was ligated leading to postoperative liver abscess formation in the liver graft. A forty-seven-year-old female patient diagnosed with liver cirrhosis underwent orthotopic cadaveric liver transplantation due to altered mentality. The donor graft showed a variant of the hepatic artery anatomy where an accessory right hepatic artery arose from the superior mesenteric artery. This artery was accidentally transected during procurement. Since the back bleeding test using perfusion fluid was good, the artery was ligated. Postoperative abdominal computed tomography scan revealed a 6 cm low attenuating lesion in the liver. The patient underwent conservative treatment. We believe that even small accessory arteries (1 to 2 mm) should be reconstructed whenever possible to avoid postoperative complications such as liver abscess.

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INTRODUCTION
CASE REPORT
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES

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UCI(KEPA) : I410-ECN-0101-2014-514-001420120