Kruk Emilia, Kalinowski Piotr, Gibiński Krzysztof, Dudek Krzysztof, Skalski Michał, Przybysz Marta, Zhylko Andriy, Nazarewski Łukasz, Morawski Marcin, Grąt Michał
Department of General, Transplant and Liver Surgery, Medical University of Warsaw, 02-091 Warsaw, Poland.
2nd Department of Clinical Radiology, Medical University of Warsaw, 02-091 Warsaw, Poland.
J Clin Med. 2023 Aug 14;12(16):5289. doi: 10.3390/jcm12165289.
In liver transplantation, a side-to-side anastomosis is one of the commonly performed techniques of the inferior vena cava reconstruction. The authors report a case of an application of an endoscopic vascular linear stapler for a side-to-side caval anastomosis during deceased-donor liver transplantation. The back table procedure was performed in a standard fashion for a side-to-side anastomosis. The linear vascular stapler was introduced during the temporary clamping of the recipient's inferior vena cava and the anastomosis was created without problems. Suturing of the resulting defect completed the anastomosis. The use of the stapler resulted in a shortening of the anastomosis time. The staple line after the reperfusion of the graft was completely sealed. The patient's postoperative course was uncomplicated and post-operative ultrasound and computed tomography confirmed the patency of the anastomosis. This case demonstrates a novel approach to a side-to-side caval reconstruction during liver transplantation that enables a shortening of the implantation time and may improve the quality of anastomoses.
在肝移植中，端侧吻合是下腔静脉重建常用的技术之一。作者报告了1例在脑死亡供体肝移植过程中应用内镜血管线性吻合器进行下腔静脉端侧吻合的病例。采用标准方式进行端侧吻合的后台操作。在临时阻断受者下腔静脉期间引入线性血管吻合器，顺利完成吻合。缝合由此产生的缺损完成吻合。使用吻合器缩短了吻合时间。移植肝再灌注后钉合线完全封闭。患者术后过程顺利，术后超声和计算机断层扫描证实吻合口通畅。该病例展示了肝移植过程中端侧腔静脉重建的一种新方法，可缩短植入时间并可能提高吻合质量。
