Mosimann F, Gillet M
Department of Surgery, University Hospital (CHUV), Lausanne, Switzerland.
Transpl Int. 1995;8(2):157-8. doi: 10.1007/BF00344427.
Caval reconstruction in orthotopic liver transplantation is generally performed by two end-to-end anastomoses, using a portal and caval-axillary bypass to sustain hemodynamic stability. In the "piggy-back" modification, the donor's suprahepatic inferior vena cava (IVC) is anastomosed end-to-side to the recipient's preserved IVC. We have used a recently described variant of the piggyback in 18 patients in whom both IVCs are anastomosed side-to-side. We report two patients who needed three retransplants after this reconstruction and conclude that regrafting can be performed in a quick and safe manner.
原位肝移植中的腔静脉重建通常通过两个端对端吻合来完成，利用门静脉和腔静脉-腋静脉旁路来维持血流动力学稳定。在“背驮式”改良术式中，供体的肝上下腔静脉与受体保留的下腔静脉进行端侧吻合。我们在18例患者中采用了一种最近描述的背驮式术式变体，即两个下腔静脉进行侧侧吻合。我们报告了两名在此重建术后需要进行三次再次移植的患者，并得出结论，再次移植可以快速、安全地进行。
