Vogelbach P, Emond J C, Thistlethwaite J R, Broelsch C E
Departement Chirurgie der Universität, Kantonsspital Basel.
Helv Chir Acta. 1991 Jul;58(1-2):147-8.
Surgical reduction of donor livers to treat small children has been performed successfully in several centers. While this procedure improves the allocation of livers, it does not increase the organ supply. Since either lobe can be used in preparing a reduced-size graft, both lobes can become grafts, if acceptable vascular pedicles and bile ducts can be established for each one. We report and demonstrate a technique, in which a donor liver has been split and was used to transplant in two recipients.
几个中心已成功实施了对供肝进行手术缩小以治疗小儿的操作。虽然该手术改善了肝脏的分配,但并未增加器官供应。由于在制备缩小体积的移植物时两个肝叶均可使用,所以如果能为每个肝叶建立可接受的血管蒂和胆管,那么两个肝叶都可成为移植物。我们报告并展示了一种技术,即将一个供肝进行分割并用于两个受者的移植。