Changes in the caudate lobe that is transplanted with extended left lobe liver graft from living donors.
Changes in the caudate lobe that is transplanted with extended left lobe liver graft from living donors.
复制标题
使用来自活体捐赠者的延伸左叶肝移植物移植的尾状叶的变化。
DOI：
10.1067/msy.2001.109499
复制
发表时间：
2001
期刊：
影响因子：
3.8
通讯作者：
K. Sugimachi
中科院分区：
文献类型：
--
作者：
T. Ikegami;T. Nishizaki;K. Yanaga;M. Shimada;S. Kakizoe;K. Nomoto;S. Hiroshige;K. Sugimachi
背景
尾状叶肝移植联合扩大的左叶肝移植是一种增加活体肝移植体积的创新方法。然而，很少有人知道移植后尾状叶的命运。
方法
本研究包括8例带尾状叶的左叶移植物。没有尝试重建短肝静脉。根据术前和移植后1个月获得的计算机断层扫描结果，评价了通过添加尾状叶增加的移植物体积和移植尾状叶的变化。
结果
尾状叶的加入使移植物体积增加了25 +/- 2 g，相当于移植物体积/标准肝脏体积比增加了2%。移植后1个月，除1例患者外，所有患者尾状叶体积均增加。移植后1个月尾状叶和其他节段（节段II-IV）的再生率分别为62% +/- 24%（24 +/- 4 mL- 37 +/- 4 mL）和152% +/- 35%（374 +/- 45 mL-930 +/- 65 mL）（P <.01）。
结论
这项技术提供了一个适度的增加肝脏体积与活体供体左肝采购。
BACKGROUND
Caudate lobe transplantation with an extended left lobe graft is an innovative and promising method for increasing the graft volume in living donor liver transplantation. However, little is known about the fate of the caudate lobe after transplantation.
METHODS
Eight extended left lobe grafts with the caudate lobe were included in this study. No attempt was made to reconstruct the short hepatic veins. On the basis of the computed tomography scans that were obtained before the operation and 1 month after the transplantation, the increase in the graft volume by the addition of the caudate lobe and the changes in the transplanted caudate lobe were evaluated.
RESULTS
The addition of the caudate lobe increased the graft volume by 25 +/- 2 g, corresponding to a 2% increase in graft volume/standard liver volume ratio. One month after the transplantation, the caudate lobe volume increased in all patients but 1. The regeneration rate of the caudate lobe and other segments (segments II-IV) 1 month after transplantation was 62% +/- 24% (24 +/- 4 mL- 37 +/- 4 mL) and 152% +/- 35% (374 +/- 45 mL-930 +/- 65 mL), respectively (P <.01).
CONCLUSIONS
This technique affords a modest increase in liver volume with living donor left liver procurement.
影响因子：
9
作者：
TANAKA, K;UEMOTO, S;OZAWA, K
通讯作者：
OZAWA, K