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  • Title: Microsurgical hepatic artery reconstruction during living-donor liver transplantation by using head-mounted surgical binocular system.
    Author: Ohdan H, Tashiro H, Ishiyama K, Ide K, Shishida M, Irei T, Ohira M, Tahara H, Itamoto T, Asahara T.
    Journal: Transpl Int; 2007 Nov; 20(11):970-3. PubMed ID: 17635836.
    Abstract:
    We have described our experience with arterial reconstruction during living-donor liver transplantation by using Varioscope AF3--a head-mounted surgical binocular system with automatic focusing and continuous zoom magnification from 3.6x to 7.2x. From July 1996 to December 2006, 91 grafts were implanted in 89 living-donor liver transplantation recipients, including two that required retransplantation. For microsurgical reconstruction of the graft hepatic artery, a conventional operating microscope was used in the first 10 transplants and Varioscope, in the subsequent 81. The time required to complete arterial reconstruction while using a conventional operating microscope and Varioscope was 78.6 +/- 44.6 min and 35.5 +/- 15.5 min, respectively. No arterial complications, including hepatic artery thrombosis, occurred in any of the 89 patients during the observation period. In living-donor liver transplantation, successful hepatic artery reconstruction can be safely carried out using Varioscope.
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