Department of Digestive Surgery, Nihon University School of Medicine, Itabashi-ku, Tokyo, Japan.
Transpl Int. 2010 Apr 1;23(4):345-9. doi: 10.1111/j.1432-2277.2009.01044.x. Epub 2010 Jan 11.
The key to obtaining good overall outcomes in small-for-size liver-graft transplantation is ensuring sufficient blood flow to the graft during the initial period after surgery. In left lobe liver grafting, various reconstruction techniques have been devised to maximize the limited graft volume. The reconstructions of the caudate lobe (CL) vessels were one of the main streams. In this article, we focus on the clinical significance of CL vessel reconstructions after small-for-size liver-graft transplantation and discuss the roles of various techniques. These techniques contribute to the enlargement of the margin of safety with respect to small-for-size liver-graft transplantation.
在小体积肝移植中获得良好整体结果的关键是确保在手术后的初始阶段移植肝有足够的血流。在左外叶肝移植中，已经设计了各种重建技术来最大限度地利用有限的供肝体积。尾状叶（CL）血管的重建是主要技术之一。在本文中，我们重点关注小体积肝移植后 CL 血管重建的临床意义，并讨论各种技术的作用。这些技术有助于扩大小体积肝移植的安全界限。
