{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T15:42:29Z","timestamp":1781538149856,"version":"3.54.5"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,12,5]],"date-time":"2018-12-05T00:00:00Z","timestamp":1543968000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The aim of this study was to evaluate the effect of hepatic artery (HA) size mismatch anastomosis on outcomes after living\u2010donor liver transplantation (LDLT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>After excluding 128 patients with the exclusion criteria among 233 LDLTs using the right lobe, 104 LDLT patients were divided into two groups: donor HA diameter that was greater than or equal to the recipient HA diameter (D\u00a0\u2265\u00a0R group; n\u00a0=\u00a079), and donor HA diameter that was smaller than the recipient HA diameter (D\u00a0&lt;\u00a0R group; n\u00a0=\u00a025).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Hepatic artery\u2010related complications occurred in only one patient (HA thrombosis; 1.0%) who was in the D\u00a0&lt;\u00a0R group. The reconstructed HA flow in the D\u00a0\u2265\u00a0R group was significantly greater than that in the D\u00a0&lt;\u00a0R group (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.015). There was a higher incidence of anastomotic biliary stricture in the D\u00a0&lt;\u00a0R group (32.0%) compared with the D\u00a0\u2265\u00a0R group (13.9%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.022) after LDLT. A multivariate analysis with Cox regression revealed that the HA anastomosis of the D\u00a0&lt;\u00a0R group and hepaticojejunostomy were significant independent risk factors for postoperative anastomotic biliary stenosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Hepatic artery anastomosis with a donor HA diameter smaller than that of the recipient HA might be an independent risk factor for postoperative biliary stenosis after LDLT using the right lobe.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.13444","type":"journal-article","created":{"date-parts":[[2018,11,8]],"date-time":"2018-11-08T20:13:23Z","timestamp":1541708003000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Impact of hepatic artery size mismatch between donor and recipient on outcomes after living\u2010donor liver transplantation using the right lobe"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6791-7097","authenticated-orcid":false,"given":"Noboru","family":"Harada","sequence":"first","affiliation":[{"name":"The Department of Surgery and Science, Graduate School of Medical Sciences Kyushu University Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoharu","family":"Yoshizumi","sequence":"additional","affiliation":[{"name":"The Department of Surgery and Science, Graduate School of Medical Sciences Kyushu University Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1845-2983","authenticated-orcid":false,"given":"Hideaki","family":"Uchiyama","sequence":"additional","affiliation":[{"name":"The Department of Surgery and Science, Graduate School of Medical Sciences Kyushu University Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5539-9280","authenticated-orcid":false,"given":"Yuji","family":"Soejima","sequence":"additional","affiliation":[{"name":"The Department of Surgery and Science, Graduate School of Medical Sciences Kyushu University Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toru","family":"Ikegami","sequence":"additional","affiliation":[{"name":"The Department of Surgery and Science, Graduate School of Medical Sciences Kyushu University Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinji","family":"Itoh","sequence":"additional","affiliation":[{"name":"The Department of Surgery and Science, Graduate School of Medical Sciences Kyushu University Fukuoka 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