Abstract:Objective:To investigate the methods of hepatic artery(HA) preparation and reconstruction in donors with HA anatomic variations in orthotopic liver transplantation.
Methods :A retrospective analysis was applied to find the methods and skills of donor liver and hepatic artery(HA) reconstruction in the 91 cases of orthotopic liver transplantation.
Results:All allografts prepared were used for liver transplantation. Twenty of 91（21.9％）allografts had hepatic artery anatomical variations, and reconstructive anastomosis was performed in 12 cases. Splenic artery（7/12）and gastro-duodenal artery（5/12）were used for anastomosis to the variant right hepatic artery. No complications resulted from donor liver preparation postoperatively.
Conclusions:Correct donor liver preparation and hepatic artery(HA) reconstruction in donors can decrease the incidence of hepatic artery and biliary complications.