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[匈牙利首例成功的成人右叶活体供肝肝移植手术]

[The first successful adult right-lobe living donor liver transplantation in Hungary].

作者信息

Máthé Zoltán, Kóbori László, Görög Dénes, Fehérvári Imre, Nemes Balázs, Gerlei Zsuzsa, Doros Attila, Németh Andrea, Mándli Tamás, Fazakas János, Járay Jeno

机构信息

Semmelweis Egyetem, Altalános Orvostudományi Kar Transzplantációs és Sebészeti Klinika Budapest.

出版信息

Orv Hetil. 2010 Jan 3;151(1):3-7. doi: 10.1556/OH.2010.28782.

DOI:10.1556/OH.2010.28782
PMID:20031520
Abstract

The authors report on their experiences related to the first adult live donor liver transplantation performed in Hungary. The transplantation was done between brother and sister on 19th of November, 2007. The right lobe of the 33-year-old healthy male's donor liver (segments 5-8) was removed and implanted into the 23-year-old female suffering from cirrhosis on the ground of autoimmune hepatitis. The implantation of the right liver lobe was done after own hepatectomy in orthotopic position. Liver function has improved rapidly following the transplantation. The donor was discharged on the 10th post-operative day with stable liver function. He had full rehabilitation, got back to work, and control check-ups showed a significant liver regeneration. Two years after transplantation, the recipient also lives an active life with compensated liver function and she is under regular medical check-up. With the case report, authors overview the indications and techniques of living donor right-lobe liver transplantation.

摘要

作者报告了他们在匈牙利进行的首例成人活体肝移植的相关经验。该移植手术于2007年11月19日在一对兄妹间进行。切除了一名33岁健康男性供体肝脏的右叶(第5 - 8段),并将其植入一名因自身免疫性肝炎而患肝硬化的23岁女性体内。右肝叶在原位肝切除术后进行植入。移植后肝功能迅速改善。供体在术后第10天出院,肝功能稳定。他完全康复,重返工作岗位,复查显示肝脏有显著再生。移植两年后,受者也过着积极的生活,肝功能得到代偿,并且定期接受医学检查。通过该病例报告,作者概述了活体供体右叶肝移植的适应症和技术。

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