成人活体肝移植中右肝移植物肝中静脉分支重建的简化技术

Simplified technique for middle hepatic vein tributary reconstruction of a right hepatic graft in adult living donor liver transplantation.

作者信息

Takatsuki Mitsuhisa, Miyamoto Shungo, Kamohara Yukio, Kawashita Yujo, Tajima Yoshitsugu, Kanematsu Takashi

机构信息

Department of Transplantation and Digestive Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan.

出版信息

Am J Surg. 2006 Sep;192(3):393-5. doi: 10.1016/j.amjsurg.2005.12.004.

DOI:10.1016/j.amjsurg.2005.12.004

PMID:16920437

Abstract

A simple procedure of direct end-to-end anastomosis between the middle hepatic vein tributary of the right hepatic graft and the preserved recipient middle hepatic vein is described. During the final step of total hepatectomy in the recipient, the middle hepatic vein was preserved, while crushing the liver tissue for a sufficient length of middle hepatic vein to perform tension-free anastomosis with the middle hepatic vein tributary of the graft. This procedure enabled us to avoid using an interposition graft.

摘要

描述了一种在右肝移植的肝中静脉分支与保留的受体肝中静脉之间进行直接端端吻合的简单手术方法。在受体全肝切除的最后步骤中，保留肝中静脉，同时将肝组织挤压出足够长度的肝中静脉，以便与移植肝的肝中静脉分支进行无张力吻合。该手术方法使我们能够避免使用间置移植物。