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[首例成功的临床小肠移植。策略与手术技巧]

[First successful clinical small intestine transplantation. Tactics and surgical technic].

作者信息

Deltz E, Schroeder P, Gebhardt H, Gundlach M, Engemann R, Timmermann W

机构信息

Abteilung Allgemeine Chirurgie, Chirurgische Universitätsklinik Kiel.

出版信息

Chirurg. 1989 Apr;60(4):235-9.

PMID:2656129
Abstract

A case of successful clinical small bowel transplantation is demonstrated. A segment of 60 cm of jejunum and ileum has been harvested from the sister of the recipient and has been brought in heterotopic position in the first operative step. It was anastomosed to the recipient's GI-tract 6 weeks later. This procedure has the advantage that the graft can recover from ischemic damage in heterotopic position and that an immunological steady state can be achieved. This case of successful clinical small bowel transplantation offers a new causal therapy for patients with short gut syndrome.

摘要

展示了一例临床小肠移植成功的病例。从受体的姐姐身上获取了一段60厘米长的空肠和回肠,并在第一步手术中将其置于异位位置。六周后将其与受体的胃肠道进行吻合。该手术的优点是移植物可在异位位置从缺血损伤中恢复,并且可以实现免疫稳定状态。这例临床小肠移植成功的病例为短肠综合征患者提供了一种新的病因治疗方法。

相似文献

1
[First successful clinical small intestine transplantation. Tactics and surgical technic].[首例成功的临床小肠移植。策略与手术技巧]
Chirurg. 1989 Apr;60(4):235-9.
2
[Functional and structural adaptation following transplantation of the small intestine].[小肠移植后的功能与结构适应性]
Z Gastroenterol Verh. 1989 Jul;24:225-9.
3
Vascular anastomosis and two-stage reconstruction of the gut in a living-related small bowel transplant recipient: a case report.
Transplant Proc. 2007 Dec;39(10):3547-50. doi: 10.1016/j.transproceed.2007.03.106.
4
Living-related small bowel transplantation for three patients with short gut syndrome.3例短肠综合征患者的亲属活体小肠移植
Transplant Proc. 2008 Dec;40(10):3629-33. doi: 10.1016/j.transproceed.2008.06.064.
5
[A case of mesenteric venous thrombosis. Review of the literature].
Acta Chir Belg. 1983 Nov-Dec;83(6):411-5.
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[Acute mesenteric vein thrombosis. A rare complication after splenectomy due to autoimmune hemolytic anemia in childhood].[急性肠系膜静脉血栓形成。儿童自身免疫性溶血性贫血脾切除术后的一种罕见并发症]
Monatsschr Kinderheilkd. 1993 Oct;141(10):779-81.
7
[Acute mesenteric vascular occlusions].[急性肠系膜血管闭塞]
Chirurg. 1987 Sep;58(9):577-84.
8
[Allogeneic transplantation of the small intestine--animal experiments and a clinical retrospect].[小肠异体移植——动物实验与临床回顾]
Zentralbl Chir. 1987;112(10):657-72.
9
[Entero-mesenteric infarction: survival after subtotal enterectomy and partial colectomy].[肠-肠系膜梗死:次全肠切除术和部分结肠切除术后的生存情况]
Helv Chir Acta. 1977 Oct;44(4):523-6.
10
[Small intestine pouches as a therapeutic principle in stomach and large intestine replacement].
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引用本文的文献

1
Outcome After Intestinal Transplantation From Living Versus Deceased Donors: A Propensity-matched Cohort Analysis of the International Intestinal Transplant Registry.活体与尸体供者来源的肠移植术后结局:国际肠移植登记处的倾向性匹配队列分析。
Ann Surg. 2023 Nov 1;278(5):807-814. doi: 10.1097/SLA.0000000000006045. Epub 2023 Jul 27.
2
Surgical Treatment of Short Bowel Syndrome-The Past, the Present and the Future, a Descriptive Review of the Literature.短肠综合征的外科治疗——过去、现在与未来,文献描述性综述
Children (Basel). 2022 Jul 10;9(7):1024. doi: 10.3390/children9071024.
3
Autologous Intestinal Reconstruction Surgery in Short Bowel Syndrome: Which, When, and Why.
短肠综合征的自体肠道重建手术:何种手术、何时进行以及为何进行
Front Nutr. 2022 Apr 7;9:861093. doi: 10.3389/fnut.2022.861093. eCollection 2022.
4
Adipose-derived mesenchymal stem cells suppress of acute rejection in small bowel transplantation.脂肪来源的间充质干细胞抑制小肠移植中的急性排斥反应。
Saudi J Gastroenterol. 2017 Nov-Dec;23(6):323-329. doi: 10.4103/sjg.SJG_122_17.
5
[Metabolic parameters and neurotensin liberation after resection of the small intestine, syngeneic and allogeneic segment transplantation the rat].[大鼠小肠切除、同基因和异基因节段移植后的代谢参数与神经降压素释放]
Langenbecks Arch Chir. 1993;378(5):265-72. doi: 10.1007/BF00183963.