活体供肝肝移植治疗全内脏反位成人患者。
Living donor liver transplantation for an adult patient with situs inversus totalis.
机构信息
Center for Liver Transplantation and Hepatobiliary Surgery, Ajou University Hospital, Ajou University School of Medicine, San 5, Wonchon-Dong, Youngtong-Ku, Suwon 443-749, South Korea.
出版信息
World J Gastroenterol. 2010 May 14;16(18):2311-3. doi: 10.3748/wjg.v16.i18.2311.
Abstract
This recipient with situs inversus totalis (SIT) was a 60-year-old female who had hepatitis B-related end-stage liver disease. Preoperative donor evaluation showed that the right posterior section satisfied graft volume and was space-fitting in the recipient hepatic fossa when it was rotated 180 degrees. The operation and postoperative course progressed satisfactorily. Three weeks after living donor liver transplantation (LDLT), the graft function was disturbed by compression of bottom-placed right hepatic vein. This was treated with a vascular stent and subsequently the graft function was normalized. The present case shows that LDLT for patients with SIT using a right posterior section graft is feasible.
摘要
这位受体患有全内脏反位（SIT），是一位 60 岁的女性，患有乙型肝炎相关的终末期肝病。术前供体评估显示，当右后叶旋转 180 度时，其体积符合移植物要求，并且与受体肝窝空间适配。手术和术后过程进展顺利。活体肝移植（LDLT）后 3 周，因右肝静脉低位受压导致移植物功能受到干扰。通过血管支架治疗后，移植物功能恢复正常。本病例表明，使用右后叶作为移植物进行全内脏反位患者的 LDLT 是可行的。
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本文引用的文献
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Liver Transpl. 2009 Jun;15(6):666-9. doi: 10.1002/lt.21653.
2
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Am J Transplant. 2009 Jul;9(7):1602-6. doi: 10.1111/j.1600-6143.2009.02676.x. Epub 2009 May 20.
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Transpl Int. 2008 Apr;21(4):384-9. doi: 10.1111/j.1432-2277.2007.00607.x. Epub 2008 Jan 14.
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