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细节决定成败:肝移植术后围手术期外科并发症的当前处理。

The devil is in the detail: current management of perioperative surgical complications after liver transplantation.

机构信息

Division of Liver and Pancreas Transplantation, Department of Surgery, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California, USA.

出版信息

Curr Opin Organ Transplant. 2019 Apr;24(2):138-147. doi: 10.1097/MOT.0000000000000616.

DOI:10.1097/MOT.0000000000000616
PMID:30694994
Abstract

PURPOSE OF REVIEW

Despite advances in the field, perioperative morbidity is common after liver transplantation. This review examines the current literature to provide up-to-date management of common surgical complications associated with liver transplantation.

RECENT FINDINGS

Research focuses on problems with anastomoses of the vena cava, portal vein, hepatic artery, and bile ducts. Interventional endoscopic and radiological techniques are used more frequently to avoid reoperation.

SUMMARY

Advances in the management of perioperative surgical complications have focused on minimally invasive measures that successfully treat technical problems with implantation of liver allografts from both living and deceased donors.

摘要

目的综述

尽管该领域取得了进展,但肝移植术后仍常发生围手术期并发症。本文综述了当前文献,以提供与肝移植相关的常见手术并发症的最新处理方法。

最近的发现

研究集中在腔静脉、门静脉、肝动脉和胆管吻合口的问题上。介入内镜和放射学技术的应用越来越频繁,以避免再次手术。

总结

围手术期外科并发症处理的进展集中在微创措施上,这些措施成功地解决了来自活体和已故供体的肝移植物植入的技术问题。

相似文献

1
The devil is in the detail: current management of perioperative surgical complications after liver transplantation.细节决定成败:肝移植术后围手术期外科并发症的当前处理。
Curr Opin Organ Transplant. 2019 Apr;24(2):138-147. doi: 10.1097/MOT.0000000000000616.
2
Surgical management of anatomical variations of the right lobe in living donor liver transplantation.活体肝移植中右叶解剖变异的手术管理
Ann Surg. 2000 Jun;231(6):824-31. doi: 10.1097/00000658-200006000-00006.
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A review of the imaging and intervention of liver transplant complications.
JBR-BTR. 2010 Sep-Oct;93(5):235-41. doi: 10.5334/jbr-btr.327.
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Sutureless anastomoses using magnetic rings in canine liver transplantation model.使用磁环进行无缝合吻合术在犬肝移植模型中的应用。
J Surg Res. 2013 Dec;185(2):923-33. doi: 10.1016/j.jss.2013.07.025. Epub 2013 Aug 3.
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Long-term venous complications after full-size and segmental pediatric liver transplantation.儿童全肝移植和节段性肝移植后的长期静脉并发症
Ann Surg. 2002 Nov;236(5):658-66. doi: 10.1097/00000658-200211000-00017.
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Left lobe adult-to-adult living donor liver transplantation: small grafts and hemiportocaval shunts in the prevention of small-for-size syndrome.成人对成人左外叶活体肝移植:小移植物和半腔静脉分流术预防小肝综合征。
Liver Transpl. 2010 May;16(5):649-57. doi: 10.1002/lt.22043.
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Endovascular treatment for pseudoaneurysms arising from the hepatic artery after liver transplantation.肝移植术后肝动脉假性动脉瘤的血管内治疗
Asian J Surg. 2017 May;40(3):227-231. doi: 10.1016/j.asjsur.2014.07.001. Epub 2014 Aug 30.
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Interventional radiologic procedures in liver transplantation.肝移植中的介入放射学操作
Transpl Int. 2001 Aug;14(4):223-9. doi: 10.1007/s001470100324.
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[Problems posed by the inferior vena cava in liver transplantation].[肝移植中肝下腔静脉引发的问题]
J Chir (Paris). 1992 Mar;129(3):148-54.
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The role of interventional radiology in complications associated with liver transplantation.介入放射学在肝移植相关并发症中的作用。
Clin Radiol. 2015 Dec;70(12):1323-35. doi: 10.1016/j.crad.2015.07.005. Epub 2015 Aug 18.

引用本文的文献

1
Characterization of Perioperative Serotonin in Patients Undergoing Orthotopic Liver Transplantation.原位肝移植患者围手术期血清素的特征分析
J Clin Med. 2024 Apr 30;13(9):2640. doi: 10.3390/jcm13092640.
2
Post-liver transplant biliary complications: Current knowledge and therapeutic advances.肝移植术后胆道并发症:当前认知与治疗进展
World J Hepatol. 2021 Jan 27;13(1):66-79. doi: 10.4254/wjh.v13.i1.66.