Hepatic venoplasty in living-donor liver transplantation using right lobe graft with middle hepatic vein.
Hepatic venoplasty in living-donor liver transplantation using right lobe graft with middle hepatic vein.
复制标题
使用肝中静脉右叶移植物进行活体肝移植中的肝静脉成形术。
DOI：
10.1097/01.tp.0000046527.19422.3e
复制
发表时间：
2003
期刊：
影响因子：
6.2
通讯作者：
J. Wong
中科院分区：
文献类型：
--
作者：
C. Lo;S. Fan;Chi;J. Wong
肝中静脉植入活体供体右叶移植物可改善静脉引流，避免移植物功能障碍，但肝中静脉的重建在技术上是困难的。我们开发了一种肝静脉成形术，应用于8例连续的右叶肝移植。将移植物的肝右静脉和肝中静脉连接在一起，形成一个三角形的袖带，用于与受体下腔静脉的单次吻合。所有病例的肝静脉成形术均成功，且不需要插入移植物。没有使用静脉-静脉旁路。所有移植物均显示立即功能，未见肝静脉流出梗阻。无再次手术，移植成活率100%。肝静脉成形术可作为标准技术系统应用于肝中静脉右叶肝移植，简化受者肝切除术，消除静脉流出梗阻。
Inclusion of the middle hepatic vein in a right lobe graft from a living-donor may improve venous drainage and avoid graft dysfunction, but reconstruction of the middle hepatic vein is technically difficult. We developed a hepatic venoplasty technique, which was applied in eight consecutive right lobe liver transplantations. The right and middle hepatic veins of the graft were joined together to form a triangular cuff for a single anastomosis to the recipient's inferior vena cava. Hepatic venoplasty was successful in all cases, and no interposition graft was required. Venovenous bypass was not used. All grafts showed immediate function, and no hepatic venous outflow obstruction was observed. There was no reoperation and the graft survival rate was 100%. This hepatic venoplasty technique can be applied systemically as a standard one in right lobe liver graft with the middle hepatic vein to simplify the recipient hepatectomy and to obviate venous outflow obstruction.
影响因子：
3.2
作者：
M. Makuuchi;Charles M. Miller;K. Olthoff;M. Schwartz
通讯作者：
M. Schwartz