Wakiya T, Sanada Y, Mizuta K, Egami S, Hishikawa S, Nakata M, Hakamada K, Yasuda Y, Kawarasaki H
Department of Transplant Surgery, Jichi Medical University, Tochigi, Japan.
Pediatr Transplant. 2012 May;16(3):E81-5. doi: 10.1111/j.1399-3046.2010.01441.x. Epub 2010 Dec 27.
Early hepatic artery complications after liver transplantation in children, having undergone LDLT, can directly affect graft and recipient outcomes, making early diagnosis and treatment essential. In the past, laparotomy (thrombectomy or reanastomosis) was generally employed to treat early hepatic artery complications. Recently, favorable outcomes of IR have been reported. In children, however, the number of such reports is small. To the best of our knowledge, there is no published report on IR applied to neonates with early hepatic artery complications. We recently succeeded in safely using IR for a neonate with early hepatic artery complications after LDLT and obtained a favorable outcome. This case is presented herein.
接受活体肝移植的儿童肝移植术后早期肝动脉并发症可直接影响移植物和受者的预后，因此早期诊断和治疗至关重要。过去，一般采用剖腹手术（血栓切除术或重新吻合术）治疗早期肝动脉并发症。最近，有报道称介入放射学（IR）取得了良好效果。然而，在儿童中，此类报道数量较少。据我们所知，尚无关于将IR应用于有早期肝动脉并发症的新生儿的发表报告。我们最近成功地对一名接受活体肝移植后出现早期肝动脉并发症的新生儿安全使用了IR，并取得了良好效果。本文介绍该病例。
