ORTHOTOPIC LIVER-TRANSPLANTATION WITH PRESERVATION OF THE INFERIOR VENA-CAVA

ORTHOTOPIC LIVER-TRANSPLANTATION WITH PRESERVATION OF THE INFERIOR VENA-CAVA
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DOI:
10.1097/00000658-198911000-00013
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发表时间:
1989-11-01
期刊:
影响因子:
9
通讯作者:
STARZL, TE
STARZL, TE
中科院分区:
医学1区
文献类型:
--
作者:
TZAKIS, A;TODO, S;STARZL, TE

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在 4 个月的时间内,对 24 名患者进行了背驮式原位肝移植。这占我们机构当时肝移植总量的 19%。背驮式肝置入法在患者生存率、失血量、血管和胆道并发症发生率以及再移植率等方面均优于标准手术。背驮式手术并非适用于所有情况,但在有指征且可行的情况下,其优势非常重要,足以保证将其纳入肝移植外科医生的设备中。
Piggyback orthotopic liver transplantation was performed in 24 patients during a period of 4 months. This represented 19% of the liver transplantations at our institution during that time. The piggyback method of liver insertion compared favorably with the standard operation in terms of patient survival, blood loss, incidence of vascular and biliary complications, and rate of retransplantation. The piggyback operation cannot be used in all cases, but when indicated and feasible its advantages are important enough to warrant its inclusion in the armamentarium of the liver transplant surgeon.