Burdick J F, Pitt H A, Colombani P M, Perler B A, Klein A S, Merritt W, Williams G M
Department of Surgery and Anesthesiology, Johns Hopkins Medical Institutions, Baltimore, Md.
Surgery. 1990 Mar;107(3):342-5.
An alternative solution to the problem of liver transplantation in the patient with an occluded portal vein is described. It uses a bridge graft of donor iliac vein from the superior mesenteric vein at the base of the colonic mesentery. The graft is tunnelled over the pancreas and under the stomach to the region of the liver hilum to provide portal inflow. This procedure was employed successfully in four patients, with patency for more than 2 years in the patient with the longest follow-up. By this approach it is routinely possible to perform a transplant procedure in a recipient with an occluded portal vein.
本文描述了一种针对门静脉闭塞患者肝移植问题的替代解决方案。该方案使用一段供体髂静脉作为桥接移植物，从结肠系膜根部的肠系膜上静脉引出。移植物经胰腺上方和胃后方隧道至肝门区域，以提供门静脉血流。该手术在4例患者中成功实施，随访时间最长的患者移植物通畅超过2年。通过这种方法，常规情况下可以为门静脉闭塞的受体进行移植手术。
