Division of Liver and Pancreas Transplantation, Department of Surgery, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California, USA.
Curr Opin Organ Transplant. 2019 Apr;24(2):138-147. doi: 10.1097/MOT.0000000000000616.
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.
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.
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.
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。
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。
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。