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人类原位肝移植中静脉重建的并发症

Complications of venous reconstruction in human orthotopic liver transplantation.

作者信息

Lerut J, Tzakis A G, Bron K, Gordon R D, Iwatsuki S, Esquivel C O, Makowka L, Todo S, Starzl T E

出版信息

Ann Surg. 1987 Apr;205(4):404-14. doi: 10.1097/00000658-198704000-00011.

DOI:10.1097/00000658-198704000-00011
PMID:3551857
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1492747/
Abstract

In 313 consecutive recipients of 393 orthotopic liver grafts, there were 51 (16.3%) and nine (2.9%) patients who had pre-existing portal vein and inferior vena cava abnormalities, respectively. These abnormalities required adjustments in the transplant operation and were a source of morbidity and mortality. The incidence of thrombosis of the reconstructed portal vein was 1.8%. Only three (0.8%) vena caval thromboses were seen after 393 liver replacements. Venous stenoses or disruptions were rare. Six women with the Budd-Chiari syndrome had liver replacement. Although this disorder is a veno-occlusive disease, five of the recipients achieved prolonged survival, only one had recurrence of disease, and three are alive after 2-6 years.

摘要

在313例接受393例原位肝移植的连续患者中,分别有51例(16.3%)和9例(2.9%)患者术前存在门静脉和下腔静脉异常。这些异常需要对移植手术进行调整,并且是发病和死亡的一个原因。重建门静脉血栓形成的发生率为1.8%。在393例肝移植术后仅发现3例(0.8%)腔静脉血栓形成。静脉狭窄或中断很少见。6例患有布加综合征的女性接受了肝移植。尽管这种疾病是一种静脉闭塞性疾病,但5例受者获得了长期生存,仅1例疾病复发,3例在2至6年后仍存活。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/1492747/5835b555cc74/annsurg00206-0091-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/1492747/89641f5ccd20/annsurg00206-0085-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/1492747/7419bf7c9e33/annsurg00206-0086-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/1492747/c2ea40a856e5/annsurg00206-0086-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/1492747/2dcc4e58a558/annsurg00206-0089-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/1492747/a57c33d6e171/annsurg00206-0089-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/1492747/c23cba545dba/annsurg00206-0090-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/1492747/5835b555cc74/annsurg00206-0091-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/1492747/89641f5ccd20/annsurg00206-0085-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/1492747/7419bf7c9e33/annsurg00206-0086-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/1492747/c2ea40a856e5/annsurg00206-0086-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/1492747/2dcc4e58a558/annsurg00206-0089-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/1492747/a57c33d6e171/annsurg00206-0089-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/1492747/c23cba545dba/annsurg00206-0090-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f350/1492747/5835b555cc74/annsurg00206-0091-a.jpg

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本文引用的文献

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Experimental replacement of short segments of veins.静脉短节段的实验性置换
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Bridging defects in the canine portal and superior mesenteric veins with plastic tubes and vascular grafts; a preliminary report.用塑料管和血管移植物桥接犬门静脉和肠系膜上静脉的缺损:初步报告。
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Use of Left Gastric Vein as an Alternative for Portal Flow Reconstruction in Liver Transplantation.在肝移植中使用胃左静脉作为门静脉血流重建的替代方法。
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Vascular complications following liver transplantation: A literature review of advances in 2015.肝移植后的血管并发症:2015年进展的文献综述
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Systemic Venous Inflow to the Liver Allograft to Overcome Diffuse Splanchnic Venous Thrombosis.通过肝移植的体循环静脉流入来克服弥漫性内脏静脉血栓形成。
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Hepatic venous outflow obstruction after living donor liver transplantation managed with ectopic placement of a foley catheter: A case report.活体肝移植后肝静脉流出道梗阻采用福来导尿管异位放置治疗:一例报告
Int J Surg Case Rep. 2015;10:65-8. doi: 10.1016/j.ijscr.2015.03.017. Epub 2015 Mar 12.
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From portal to splanchnic venous thrombosis: What surgeons should bear in mind.从门静脉到内脏静脉血栓形成:外科医生应牢记的要点。
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Venous bypass in clinical liver transplantation.临床肝移植中的静脉搭桥术
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Budd-Chiari syndrome recurring in a transplanted liver.布加综合征在移植肝中复发。
Gastroenterology. 1983 Mar;84(3):640-3.
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Refinements in the surgical technique of liver transplantation.肝移植手术技术的改进。
Semin Liver Dis. 1985 Nov;5(4):349-56. doi: 10.1055/s-2008-1040632.
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Immunosuppression and other nonsurgical factors in the improved results of liver transplantation.免疫抑制及其他非手术因素对肝移植疗效改善的影响
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