肝动脉重建在活体肝移植中的应用。
Hepatic artery reconstruction in living donor liver transplantation.
机构信息
Department of Surgery and Transplantation, Ankara University School of Medicine, Ankara, Turkey.
Department of Liver Transplantation and HBP Surgery, Ulsan University School of Medicine, Asan Medical Center, Seoul, South Korea.
出版信息
Curr Opin Organ Transplant. 2019 Oct;24(5):631-636. doi: 10.1097/MOT.0000000000000697.
PURPOSE OF REVIEW
Arterial reconstruction in living donor liver transplantation is a technically complex and challenging procedure, requiring expertise handling multiple factors associated with successful outcomes. This review describes and discusses the current methods of arterial reconstruction in living donor liver transplantation.
RECENT FINDINGS
Arterial reconstruction in living donor liver transplantation requires multiple modifications of standard anastomosis techniques, including familiarity with alternative methods of arterial reconstruction including technical variants of anastomoses. We herein describe how these methods are employed in microsurgical techniques, the newer alternatives as well as decision-making on graft-recipient vessel matching and its complications.
SUMMARY
This review provides comprehensive discussion of surgical techniques for arterial reconstruction in living donor liver transplant recipients.
目的综述
活体供肝移植中的动脉重建是一项技术复杂且具有挑战性的操作，需要专业知识来处理与成功结果相关的多种因素。本综述描述并讨论了活体供肝移植中动脉重建的当前方法。
最近的发现
活体供肝移植中的动脉重建需要对标准吻合技术进行多次修改，包括熟悉动脉重建的替代方法，包括吻合术的技术变体。在此，我们描述了这些方法如何应用于显微外科技术，以及新的替代方法，以及供体-受体血管匹配及其并发症的决策。
总结
本综述全面讨论了活体供肝移植受者动脉重建的手术技术。
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