Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
Surg Today. 2012 Aug;42(8):816-8. doi: 10.1007/s00595-012-0168-y. Epub 2012 Mar 27.
Among 137 living liver donors who underwent partial hepatectomy between August 1997 and November 2010, 58 donated the left lobe of their liver, with or without the caudate lobe. Gastric stasis developed after surgery in 4 (7 %) of these 58 donors (Fig. 1); possibly because of dislocation of the stomach after hepatectomy and adhesion between the stomach and the cut surface of the liver. This complication is specific to left hepatectomy [1] and although not life-threatening, it is symptomatic and requires endoscopic or surgical intervention. We describe our surgical technic designed to prevent this complication. Fig. 1 Gastric stasis after living donor left hepatectomy. Fluorescent imaging study shows an enlarged stomach with no passage of radiofluorescence through the pylorus.
在 1997 年 8 月至 2010 年 11 月期间接受部分肝切除术的 137 位活体肝供体中，有 58 位捐献者捐献了左叶肝脏，其中包括或不包括尾状叶。在这 58 位供体中，有 4 位（7%）在手术后出现胃停滞（图 1）；这可能是由于肝切除术后胃脱位和胃与肝切面之间的粘连所致。这种并发症是左肝切除术所特有的[1]，虽然没有生命危险，但有症状，需要内镜或手术干预。我们描述了我们设计的手术技术，旨在预防这种并发症。图 1 活体供体左肝切除术后胃停滞。荧光成像研究显示胃扩大，胃幽门无放射性荧光通过。
