Kotenko O G, Fedorov D A, Popov A O, Gusev A V, Korshak A A, Grinenko A V
Klin Khir. 2008 Oct(10):40-6.
The rate of hepatic transplantation from live relative donor in children is increasing in all over the world and in Ukraine as well. Significant incidence of the pathology together with necessity of technically complex intervention performance causes the need for surgical technique improvement, a new methods elaboration and clinical introduction, permitting to lower the postoperative complications rate. Technical complexity constitutes the main peculiarity of transplantation operation of liver, obtained from live relative donor, in children, it is caused by the vessels small diameter, pathological changes of the recipient portal vein and lack of plastic material for reconstruction of vessels. There are proposed various plastic methods for the transplant portal inflow and venous outflow guaranteeing to achieve a success while performing left lateral hepatic section transplantation, permitting to improve the results of hepatic transplantation from live relative donor in children.
在全球以及乌克兰,儿童活体亲属供肝肝移植的比例都在上升。该病理情况的高发病率以及技术复杂干预操作的必要性,促使人们需要改进手术技术、研发新方法并引入临床应用,以降低术后并发症发生率。技术复杂性是儿童活体亲属供肝肝移植手术的主要特点,这是由血管直径小、受体门静脉的病理改变以及缺乏用于血管重建的塑形材料导致的。人们提出了各种用于移植门静脉流入和静脉流出的塑形方法,以确保在进行左外侧肝段移植时取得成功,从而改善儿童活体亲属供肝肝移植的效果。