Abstract:

BACKGROUND: In liver and kidney transplantation, donor liver and kidney acquisition and restoration can cause various liver and kidney vessel injuries. Moreover, the separation, drag and dissection may affect liver and renal donor quality. It is difficult to improve donor organ application by repairing liver and kidney vessel injuries.
OBJECTIVE: To investigate the value of microsurgical vascular reconstruction in injured donor liver and kidney.
METHODS: Hilar vessels were severely injured in 3 liver grafts and 1 kidney graft. Microsurgery was used for vascular reconstruction for arteries and veins of the grafts, followed by conventional procedure of transplantation. Clinical outcomes were analyzed.
RESULTS AND CONCLUSION: All three liver grafts and one kidney graft were successfully rescued. Bile outputs were seen after reperfusion in all the three liver transplant recipients and urine output was also well in the kidney recipient. The urine volume was 1 500-2 500 mL per day. All 4 cases recovered and discharged in time. During 1.3 to 2 year’s follow up, all 4 cases survived with good graft function, with no complications. Microsurgical vascular reconstruction can be successfully applied for severely vascular injured liver and kidney graft. This might provide comparable good functional graft.