广泛门静脉肠系膜血栓形成中的门静脉血流：在活体肝移植中利用肝门周围静脉曲张
Portal Inflow in Extensive Portomesenteric Thrombosis: Using the Pericholedochal Varix in Living Donor Liver Transplantation.
作者信息
Bharathy Kishore Gurumoorthy Subramanya, Sasturkar Shridhar Vasantrao, Sinha Piyush Kumar, Kumar Senthil, Pamecha Viniyendra
机构信息
Department of Liver Transplantation and Hepato Pancreatico Biliary Surgery, Institute of Liver & Biliary Sciences, New Delhi, India.
出版信息
J Clin Exp Hepatol. 2017 Mar;7(1):63-65. doi: 10.1016/j.jceh.2016.10.007. Epub 2016 Nov 4.
Abstract
Extensive portomesenteric thrombosis presents a technical challenge in liver transplantation. Establishing portal inflow in living donor liver transplantation (LDLT) is indispensable to ensure regeneration of the graft. The use of a pericholedochal varix for inflow has been described only in a few case reports. Described herein is one such instance in the setting of LDLT, highlighting the nuances of this procedure in the light of available literature.
摘要
广泛的门静脉肠系膜血栓形成给肝移植带来了技术挑战。在活体肝移植（LDLT）中建立门静脉血流对于确保移植物的再生是必不可少的。仅在少数病例报告中描述了使用胆总管周围静脉曲张作为血流来源。本文描述了一例LDLT中的此类病例，结合现有文献强调了该手术的细微之处。
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本文引用的文献
1
Restoration of portal flow with a pericholedochal varix in adult living donor liver transplantation for patients with total portosplenomesenteric thrombosis.
Liver Transpl. 2014 Dec;20(12):1530-1. doi: 10.1002/lt.24040.
2
Restoration of portal flow using a pericholedochal varix in adult living donor liver transplantation for patients with total portosplenomesenteric thrombosis.在患有全门静脉脾肠系膜静脉血栓形成的患者的成人活体肝移植中，利用胆总管周围静脉曲张恢复门静脉血流。
Liver Transpl. 2014 May;20(5):612-5. doi: 10.1002/lt.23850. Epub 2014 Mar 26.
3
The portal vein-variceal anastomosis: an important technique for establishing portal vein inflow.门静脉-静脉曲张吻合术：建立门静脉血流的一项重要技术。
Clin Transplant. 2014 Jan;28(1):52-7. doi: 10.1111/ctr.12278. Epub 2013 Nov 21.
4
Portal biliopathy treated with living-donor liver transplant: index case.活体供肝移植治疗门静脉性肝病：首例病例
Exp Clin Transplant. 2011 Apr;9(2):145-9.
5
Portal vein thrombosis in adults undergoing liver transplantation: risk factors, screening, management, and outcome.肝移植成年受者的门静脉血栓形成：危险因素、筛查、管理及结局
Transplantation. 2000 May 15;69(9):1873-81. doi: 10.1097/00007890-200005150-00023.
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