Oldani Graziano, Lacotte Stephanie, Morel Philippe, Mentha Gilles, Toso Christian
Transplantation Division, Department of Surgery, University of Geneva Hospitals, University of Geneva.
J Vis Exp. 2012 Jul 1(65):4143. doi: 10.3791/4143.
Clinical progress in the field of liver transplantation has been largely supported by animal models(1,2). Since the publication of the first orthotopic rat liver transplantation in 1979 by Kamada et al.(3), this model has remained the gold standard despite various proposed alternative techniques(4). Nevertheless, its broader use is limited by its steep learning curve(5). In this video paper, we show a simple and easy-to-establish revision of Kamada's two-cuff technique. The suprahepatic vena cava anastomosis is performed manually with a running suture, and the vena porta and infrahepatic vena cava anastomoses are performed utilizing a quick-linker cuff system(6). Manufacturing the quick-linker kit is shown in a separate video paper.
肝移植领域的临床进展在很大程度上得益于动物模型(1,2)。自1979年镰田等人发表首例大鼠原位肝移植以来(3),尽管有各种替代技术被提出(4),该模型仍然是金标准。然而,其更广泛的应用受到陡峭学习曲线的限制(5)。在本视频论文中,我们展示了一种对镰田双袖套技术简单且易于建立的改进方法。肝上下腔静脉吻合采用连续缝合手工完成,门静脉和肝下下腔静脉吻合则使用快速连接袖套系统(6)。快速连接套件的制作在另一篇视频论文中展示。