Cescon Matteo, Sugawara Yasuhiko, Sano Keiji, Ohkubo Takao, Kaneko Junji, Makuuchi Masatoshi
Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, Tokyo 113-8655, Japan.
Transplantation. 2002 Apr 15;73(7):1164-6. doi: 10.1097/00007890-200204150-00028.
A case of adult-to-adult, living-donor liver transplantation using a right liver graft is described. In the donor operation, when the middle hepatic vein (MHV) was clamped after hepatic transection, reversed flow was detected in MHV tributaries by intraoperative color Doppler ultrasonography. Regurgitated flow in the clamped inferior right hepatic vein was also demonstrated. Portal flow remained hepatopetal during the procedure. Based on these ultrasonographic findings, neither the MHV tributaries nor the inferior right hepatic vein was reconstructed.
描述了一例使用右肝移植物进行成人对成人活体肝移植的病例。在供体手术中，肝横断后夹闭肝中静脉（MHV）时，术中彩色多普勒超声检查发现MHV分支出现反向血流。还证实了夹闭的右下肝静脉存在反流。术中门静脉血流仍为向肝血流。基于这些超声检查结果，未对MHV分支或右下肝静脉进行重建。
