Moreno G E, Garcia G I, González Pinto I, Gomez S R, Loinaz S C, Riaño C D, Maffettone V, Bercedo M J, Perez-Cerdá F, Ibañez A J
Hospital Universitario 12 De Octubre, General and Digestive Surgery Service C, Madrid, Spain.
Hepatogastroenterology. 1992 Oct;39(5):405-12.
The authors report on their experience of 158 liver transplants performed on 135 patients. Nineteen underwent re-transplantation and four of these required a second re-transplantation; total number of re-transplantations: 23 (14.6%). Hepatic cirrhosis was the most common indication (50.6%), of which alcoholic cirrhosis was the most common type (32.5%). The authors briefly report on their operative techniques and the results of their procedures. The operative mortality (30 days) was 13.3% (18 out of 135 patients). Complications included nine cases of hepatic artery thrombosis (5.7%), four of arterial stenosis (2.5%), one case of portal venous stenosis (0.63%), four cases of post-operative portal venous thrombosis (2.5%), seven of biliary fistula (4.4%; five following choledochocholedochostomy and two following choledochojejunostomy), and two cases of common bile duct stenosis (1.3%). The actuarial survival rate at 48 months is 80%.
作者报告了他们对135例患者进行158例肝移植的经验。19例接受了再次移植，其中4例需要进行第二次再次移植；再次移植总数为23例（14.6%）。肝硬化是最常见的适应证（50.6%），其中酒精性肝硬化是最常见的类型（32.5%）。作者简要报告了他们的手术技术和手术结果。手术死亡率（30天）为13.3%（135例患者中有18例）。并发症包括9例肝动脉血栓形成（5.7%）、4例动脉狭窄（2.5%）、1例门静脉狭窄（0.63%）、4例术后门静脉血栓形成（2.5%）、7例胆瘘（4.4%；5例发生在胆总管对端吻合术后，2例发生在胆总管空肠吻合术后）以及2例胆总管狭窄（1.3%）。48个月时的精算生存率为80%。
