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技术说明:活体供肝肝移植中的胆道重建

Technical note: biliary reconstruction in living-donor liver transplant.

作者信息

Petrowsky Henrik, Guidetti Cristiano, Di Sandro Stefano, Di Benedetto Fabrizio

机构信息

Swiss HPB and Transplantation Center, Department of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland.

Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University of Modena and Reggio Emilia, Modena, Italy.

出版信息

Updates Surg. 2025 Mar 9. doi: 10.1007/s13304-024-02057-1.

DOI:10.1007/s13304-024-02057-1
PMID:40059262
Abstract

Biliary reconstruction is key point to successful outcomes in living-donor liver transplantation (LDLT). Despite the different described technique, a high rate of biliary complication is reported in this procedure. Many mitigation strategies have been presented but still there is no consensus on the best option for biliary reconstruction in LDLT. We herein present three different techniques that can be used after adequate evaluation of grafts' and recipients' characteristics.

摘要

胆道重建是活体肝移植(LDLT)获得成功结果的关键。尽管有不同的技术描述,但该手术中报道的胆道并发症发生率很高。已经提出了许多缓解策略,但对于LDLT中胆道重建的最佳选择仍未达成共识。在此,我们介绍三种不同的技术,这些技术可在对供体和受体特征进行充分评估后使用。

相似文献

1
Technical note: biliary reconstruction in living-donor liver transplant.技术说明:活体供肝肝移植中的胆道重建
Updates Surg. 2025 Mar 9. doi: 10.1007/s13304-024-02057-1.
2
Biliary reconstructive techniques and associated anatomic variants in adult living donor liver transplantations: The adult-to-adult living donor liver transplantation cohort study experience.成人活体肝移植中胆道重建技术及相关解剖变异:成人对成人活体肝移植队列研究经验。
Liver Transpl. 2017 Dec;23(12):1519-1530. doi: 10.1002/lt.24872.
3
Anatomical and technical aspects of hepatic artery reconstruction in living donor liver transplantation.活体肝移植中肝动脉重建的解剖学与技术方面
Surgery. 2006 Nov;140(5):824-8; discussion 829. doi: 10.1016/j.surg.2006.02.021.
4
Biliary reconstruction before clamp removal to avoid portal vein thrombosis in pediatric living-donor liver transplantation using hyper-reduced left lateral segment grafts: A novel technical strategy.小儿活体供肝肝移植中使用超减体积左外叶移植物时,在移除血管夹前进行胆道重建以避免门静脉血栓形成:一种新的技术策略。
Pediatr Transplant. 2019 Sep;23(6):e13516. doi: 10.1111/petr.13516. Epub 2019 Jun 18.
5
Introduction of microsurgical technique to biliary reconstruction in living donor liver transplantation.显微外科技术在活体肝移植胆道重建中的应用介绍。
Transplant Proc. 2007 Jun;39(5):1513-6. doi: 10.1016/j.transproceed.2007.01.091.
6
Preliminary experience for reducing biliary complication in adult-to-adult living donor liver transplantation using right lobe graft.应用右半肝供肝行成人活体肝移植术减少胆系并发症的初步经验
Hepatol Res. 2007 Apr;37(4):305-9. doi: 10.1111/j.1872-034X.2007.00009.x.
7
Long-term Outcomes of Stent Placement Inside the Bile Duct for Biliary Strictures After Living Donor Liver Transplantation.活体肝移植后胆管狭窄支架置入胆管内的长期疗效。
Liver Transpl. 2022 Jan;28(1):88-97. doi: 10.1002/lt.26247. Epub 2021 Aug 20.
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Biliary reconstruction in living donor liver transplantation: technical invention and risk factor analysis for anastomotic stricture.活体肝移植中的胆重建:吻合口狭窄的技术创新和危险因素分析。
Transplantation. 2009 Nov 15;88(9):1123-30. doi: 10.1097/TP.0b013e3181ba184a.
9
Biliary reconstruction and complications in living donor liver transplantation.胆道重建和活体肝移植中的并发症。
Int J Surg. 2020 Oct;82S:138-144. doi: 10.1016/j.ijsu.2020.04.069. Epub 2020 May 5.
10
Delayed construction of the bilio-digestive anastomosis in right living donor liver transplantation.右半肝活体供肝移植中胆肠吻合的延迟构建
Int Surg. 2005 Jul-Aug;90(3):121-4.

本文引用的文献

1
Novel Benchmark for Adult-to-Adult Living-donor Liver Transplantation: Integrating Eastern and Western Experiences.成人对成人活体肝移植的新基准:融合东西方经验。
Ann Surg. 2023 Nov 1;278(5):798-806. doi: 10.1097/SLA.0000000000006038. Epub 2023 Jul 21.
2
The Impact of the Multiple Bile Ducts on Postoperative Biliary Complications In Patients Undergoing Living Donor Liver Transplantation.多胆管对活体肝移植术后胆道并发症的影响。
Transplant Proc. 2023 May;55(4):934-939. doi: 10.1016/j.transproceed.2023.02.038. Epub 2023 Mar 23.
3
Does Multiple Bile Duct Anastomosis in Living Donor Liver Transplantation Affect the Postoperative Biliary Complications?
活体肝移植中的多胆管吻合术是否会影响术后胆道并发症?
Transplant Proc. 2019 Sep;51(7):2473-2477. doi: 10.1016/j.transproceed.2019.01.160. Epub 2019 Aug 9.
4
Biliary reconstruction and complications in adult living donor liver transplantation: systematic review and meta-analysis.成人活体肝移植中的胆道重建与并发症:系统评价与荟萃分析
Transplant Proc. 2014 Jan-Feb;46(1):208-15. doi: 10.1016/j.transproceed.2013.05.014.
5
Routine microsurgical biliary reconstruction decreases early anastomotic complications in living donor liver transplantation.常规显微胆道重建可降低活体肝移植中早期吻合口并发症。
Liver Transpl. 2009 Dec;15(12):1766-75. doi: 10.1002/lt.21947.