右半肝活体肝移植中使用尸体髂静脉重建三条肝右静脉：病例报告
Reconstruction of three right hepatic veins using cadaveric iliac vein in right lobe living donor liver transplantation: case report.
作者信息
Kim D G, Park S C, Moon I S, Lee M D
机构信息
Division of Transplant and Vascular Surgery, Department of Surgery, Kangnam St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
出版信息
Transplant Proc. 2008 Oct;40(8):2523-4. doi: 10.1016/j.transproceed.2008.07.022.
In various right hepatic vein anatomies, reconstruction is a surgically challenging technique in right lobe living donor liver transplantation. The right inferior hepatic vein is the most common hepatic vein abnormality in right lobe living-donor liver transplantation. Three accessory right hepatic veins is a rare right hepatic vein variation. We experienced one case of three right hepatic vein reconstruction among 300 partial liver transplantations using the right lobe in our center over 10 years. The donor right lobe had one main right hepatic vein and three accessory hepatic veins at the lower border of the liver. Restoration of accessory hepatic veins to the inferior vena cava was performed after construction of one conduit from the three accessory hepatic veins using a cadaveric donor iliac vein.
在各种右肝静脉解剖结构中，重建术在右半肝活体供肝移植中是一项具有手术挑战性的技术。肝右下静脉是右半肝活体供肝移植中最常见的肝静脉异常情况。三条副右肝静脉是一种罕见的右肝静脉变异。在我们中心10年间300例采用右半肝的部分肝移植中，我们遇到了1例三条右肝静脉重建的病例。供体右半肝在肝脏下缘有一条主要右肝静脉和三条副肝静脉。在使用尸体供体髂静脉将三条副肝静脉构建成一条管道后，将副肝静脉恢复至下腔静脉。
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