Takatsuki Mitsuhisa, Kawashita Yujo, Eguchi Susumu, Tajima Yoshitsugu, Kanematsu Takashi
Department of Transplantation and Digestive Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan.
Am J Surg. 2007 Jul;194(1):107-9. doi: 10.1016/j.amjsurg.2006.09.044.
A procedure of tape-guided living donor left hepatectomy is described. A tape was placed along the anterior wall of the inferior vena cava for left liver with caudate lobe, and along Arantius' ligament for left liver without caudate lobe. The final step of liver transection was applied by dividing the liver parenchyma under tape guidance. This procedure contributed to safe and accurate anatomic procurement of left liver grafts in living donor hepatectomy.
描述了一种带引导的活体供体左肝切除术的手术方法。对于包含尾状叶的左肝,将一条带子沿着下腔静脉前壁放置;对于不包含尾状叶的左肝,则沿着阿兰特斯韧带放置。肝实质离断的最后一步是在带子引导下进行肝实质的分割。该手术方法有助于在活体供体肝切除术中安全、准确地进行左肝移植物的解剖获取。