成人活体肝移植中的小肝综合征。
Small-for-size syndrome in adult-to-adult living-related liver transplantation.
出版信息
World J Gastroenterol. 2010 Oct 28;16(40):5011-5. doi: 10.3748/wjg.v16.i40.5011.
Abstract
Small-for-size syndrome (SFSS) in adult-to-adult living-related donor liver transplantation (LRLT) remains the greatest limiting factor for the expansion of segmental liver transplantation from either cadaveric or living donors. Portal hyperperfusion, venous pathology, and the arterial buffer response significantly contribute to clinical and histopathological manifestations of SFSS. Here, we review the technical aspects of surgical and radiological procedures developed to treat SFSS in LRLT, along with the pathophysiology of this condition.
摘要
成人对成人活体肝移植（LRLT）中的小肝综合征（SFSS）仍然是扩大尸体或活体供肝节段性肝移植的最大限制因素。门静脉高灌注、静脉病理学和动脉缓冲反应显著导致 SFSS 的临床和组织病理学表现。在这里，我们回顾了为治疗 LRLT 中的 SFSS 而开发的手术和放射学程序的技术方面，以及该病症的病理生理学。
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