Tashiro Hirotaka, Ohdan Hideki, Itamoto Toshiyuki, Ishifuro Minoru, Hara Hidetaka, Tokita Daisuke, Onoe Takashi, Ishiyama Kouhei, Mitsuta Hiroshi, Ide Kentarou, Ogawa Takayuki, Asahara Toshimasa
Second Department of Surgery, Faculty of Medicine, Hiroshima University, Minami-ku, Hiroshima 734-8551, Japan.
Am J Surg. 2005 Jul;190(1):65-8. doi: 10.1016/j.amjsurg.2004.10.006.
Portal vein reconstruction is still a crucial problem in living-donor liver transplantation. Vascular closure staples (VCS) have been applied for small peripheral and large vessels because of the technical ease with which they can be employed. We describe here our experience with portal vein reconstruction in living donor-liver transplantation and compare VCS with conventional sutures in portal vein reconstruction.
The anastomosis between the donor portal vein and recipient portal vein or the right external iliac vein graft was created using either VCS or conventional sutures.
The stenotic ratios were .51 +/- .15 and .79 +/- .25 for the conventional sutures and VCS, respectively. The stenotic ratio was significantly lower in VCS compared with conventional sutures.
VCS compared with conventional sutures has the advantage of low risk of anastomotic stenosis.
门静脉重建仍是活体肝移植中的一个关键问题。血管闭合吻合器（VCS）因其使用技术简便，已应用于小外周血管和大血管。在此，我们描述我们在活体肝移植中门静脉重建的经验，并比较VCS与传统缝线在门静脉重建中的应用。
使用VCS或传统缝线进行供体门静脉与受体门静脉或右髂外静脉移植物之间的吻合。
传统缝线组和VCS组的狭窄率分别为0.51±0.15和0.79±0.25。与传统缝线相比，VCS组的狭窄率显著更低。
与传统缝线相比，VCS具有吻合口狭窄风险低的优势。
