Troisi R, Debruyne R, Rogiers X
Dept. of General & Hepato-Biliary Surgery, Liver Transplantation Service, Ghent University Hospital & Medical School, Ghent, Belgium.
Acta Chir Belg. 2009 Jul-Aug;109(4):559-62. doi: 10.1080/00015458.2009.11680486.
Living donor liver transplantation is a well established modality, especially for pediatric transplantation with excellent early graft function and long-term results. Left lateral sectionectomy through open approach is a well-standardized procedure. Considering our acquired experience in both laparoscopic liver resection and standard open surgery for live donation in pediatric and adult patients, we decided to offer, for the first time in Belgium, a laparoscopic approach for the left lateral sectionectomy to a young mother. The patient was a child 6-months old,affected by biliary atresia and rapidly deteriorating while waiting on a deceased donor liver graft. Surgical technique and key-points of this procedure in the living donor are hereby discussed.
活体肝移植是一种成熟的治疗方式，尤其对于小儿肝移植而言，其早期移植物功能良好且长期效果出色。经开放手术进行左外叶肝切除术是一种标准化程度很高的手术。鉴于我们在小儿及成人患者活体供肝的腹腔镜肝切除和标准开放手术方面积累的经验，我们决定在比利时首次为一位年轻母亲提供腹腔镜下左外叶肝切除术。患者是一名6个月大的儿童，患有胆道闭锁，在等待尸肝移植期间病情迅速恶化。在此讨论活体供者该手术的技术及要点。
