Vanderlan Wesley B, Abouljoud Marwan S, Yoshida Atsushi, Kim Dean Y
Department of Surgery, Division of Transplant Surgery and Hepatobiliary Surgery, Henry Ford Hospital, 2799 West Grand Boulevard (CFP-2), Detroit, MI, 48202, USA.
Cases J. 2008 Aug 11;1(1):82. doi: 10.1186/1757-1626-1-82.
Hepatic artery thrombosis following orthotopic liver transplant is one of the most common reasons for early graft failure. Meticulous reconstitution of hepatic artery flow remains essential for good outcomes. Prior surgery, body habitus, hepatic artery inadequacy and anatomic differences can complicate hepatic artery revascularization.
We report a single institution's experience, from January 1996 to January 2007, using splenic artery inflow in seven patients with inadequate native hepatic arteries.
End-to-side anastomosis was associated with postanastomotic intimal hyperplasia. End-to-end anastomosis provided effective hepatic inflow, demonstrated splenic and pancreatic safety, and was not associated with the intimal hyperplasia experienced with end-to-side anastomosis.
原位肝移植术后肝动脉血栓形成是早期移植物功能衰竭的最常见原因之一。精心重建肝动脉血流对于取得良好预后仍然至关重要。既往手术史、身体形态、肝动脉不足和解剖差异会使肝动脉血管重建复杂化。
我们报告了一家机构在1996年1月至2007年1月期间，对7例肝固有动脉不足患者使用脾动脉血流的经验。
端侧吻合与吻合口内膜增生有关。端端吻合提供了有效的肝血流，证明对脾和胰腺安全，且与端侧吻合所经历的内膜增生无关。
