在实验台上对右叶移植物进行复杂重建：门静脉、肝前叶静脉、肝下静脉和多条胆管。
Complex Reconstruction of Right-Lobe Grafts on the Bench: Portal Vein, Anterior Sector Hepatic Veins, Inferior Hepatic Veins and Multiple Bile Ducts.
作者信息
Gupta Ankur A, Soin Arvinder S
机构信息
Institute of Liver Transplantation and Regenerative Medicine, Medanta the Medicity, Gurugram, India.
出版信息
J Clin Exp Hepatol. 2025 Jan-Feb;15(1):102411. doi: 10.1016/j.jceh.2024.102411. Epub 2024 Sep 14.
Abstract
Living donor liver transplantation (LDLT) employing right-lobe (RL) grafts has become indispensable amid limited deceased donor graft availability. RL grafts, while smaller, offer outcomes comparable with deceased donor grafts, prompting a surge in global RL LDLT. However, bench surgery in LDLT requires meticulous preparation to minimize warm ischaemia time and ensure optimal inflow and outflow reconstruction. This review combines an analysis of existing literature with a discussion of our technique, emphasizing the intricacies of RL graft bench reconstruction.
摘要
在已故供体肝脏移植物供应有限的情况下，采用右叶（RL）移植物的活体供体肝移植（LDLT）已变得不可或缺。RL移植物虽然体积较小，但提供的结果与已故供体移植物相当，这促使全球RL LDLT数量激增。然而，LDLT中的离体手术需要精心准备，以尽量减少热缺血时间，并确保最佳的流入和流出道重建。本综述结合了对现有文献的分析以及对我们技术的讨论，强调了RL移植物离体重建的复杂性。
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