使用带有多个大囊肿的肝移植物成功进行活体供体左肝移植：一例报告
Successful living donor left liver transplantation by using liver graft with multiple large cysts: a case report.
作者信息
Amano H, Tashiro H, Itamoto T, Oshita A, Niitsu H, Ohdan H, Asahara T
机构信息
Department of Surgery, Hiroshima University, Hiroshima, Japan.
出版信息
Transplant Proc. 2009 Nov;41(9):3923-6. doi: 10.1016/j.transproceed.2009.02.099.
There are few reports regarding the use of liver grafts with multiple large cysts in living donor liver transplantation. A 40-year-old woman who was diagnosed with Wilson's disease underwent living donor left liver transplantation; the donor was her 67-year-old mother. The liver graft had multiple large cysts, with a maximum diameter of 9 cm. At donor hepatectomy, the largest cyst and one small cyst were fenestrated, because they were located in the left paramedian sector; the other cysts were left intact. After transplantation, the liver graft exhibited good function with no cyst-related complications, such as hemorrhage, infection, or rupture, despite slight enlargement of the cysts. Thus, a liver graft with multiple large cysts is transplantable. However, the necessity of treating large cysts remains debatable.
关于在活体肝移植中使用含有多个大囊肿的肝移植物的报道很少。一名被诊断为威尔逊病的40岁女性接受了活体供体左肝移植；供体是她67岁的母亲。肝移植物有多个大囊肿，最大直径为9厘米。在供体肝切除术中，由于最大的囊肿和一个小囊肿位于左旁正中肝段，对其进行了开窗引流；其他囊肿未作处理。移植后，尽管囊肿略有增大，但肝移植物功能良好，未出现与囊肿相关的并发症，如出血、感染或破裂。因此，含有多个大囊肿的肝移植物是可移植的。然而，治疗大囊肿的必要性仍存在争议。
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