活体肝移植中使用胃网膜右动脉进行肝动脉重建
Hepatic Arterial Reconstruction Using Right Gastroepiploic Artery in Living Donor Liver Transplantation.
作者信息
Ozer A, Aktas H, Eren N, Karakayalı H, Emiroglu R
机构信息
Acibadem Atakent University Hospital, Organ Transplantation Department, Istanbul, Turkey.
Acibadem Bursa Hospital, Organ Transplantation Department, Bursa, Turkey.
出版信息
Transplant Proc. 2018 Dec;50(10):3559-3561. doi: 10.1016/j.transproceed.2018.07.027. Epub 2018 Aug 10.
BACKROUND
Hepatic artery (HA) anastomosis is still a challenge in living donor liver transplantation due to the short- and small-caliber graft artery.
PATIENTS AND METHODS
If the recipient HA is damaged, reconstruction of HA is a significant problem. This paper reports on the results of using our alternative artery source in patients who had HA depredation for a variety of reasons, including transarterial chemoembolization. We used the right gastroepiploic hepatic artery for HA reconstruction in 5 patients.
RESULTS
None of the patients experienced HA thrombosis. Only one patient who underwent retransplantation due to chronic rejection had biliary leakage. The mean follow-up time was 7.4 months; no graft loss or patient mortality was observed. The right gastroepiploic hepatic artery can be used securely for HA reconstruction in patients with a damaged HA.
背景
由于供肝动脉短且管径小，肝动脉吻合在活体肝移植中仍然是一项挑战。
患者与方法
如果受体肝动脉受损，肝动脉重建是一个重大问题。本文报告了在因各种原因（包括经动脉化疗栓塞）导致肝动脉受损的患者中使用我们的替代动脉来源的结果。我们对5例患者使用胃网膜右肝动脉进行肝动脉重建。
结果
所有患者均未发生肝动脉血栓形成。仅有1例因慢性排斥反应接受再次移植的患者发生胆漏。平均随访时间为7.4个月；未观察到移植物丢失或患者死亡。胃网膜右肝动脉可安全地用于肝动脉受损患者的肝动脉重建。
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