扩大应用及改良技术的劈离式肝移植一年经验
One year of experience with extended application and modified techniques of split liver transplantation.
作者信息
Rogiers X, Malagó M, Gawad K A, Kuhlencordt R, Fröschle G, Sturm E, Sterneck M, Pothmann W, Schulte am Esch J, Burdelski M, Broelsch C
机构信息
Department of General Surgery, University Hospital Eppendorf, Hamburg, Germany.
出版信息
Transplantation. 1996 Apr 15;61(7):1059-61. doi: 10.1097/00007890-199604150-00012.
As organ donation rates decreased in Europe, the authors started a systematic approach of liver splitting in their center in 1994. During this 1-year experience, 73 cadaveric liver transplantations were performed in 66 patients. Sixteen of these transplantations were the result of split-liver transplantation (21.9% of grafts, 24.2% of patients). Patient and graft survival rates at 3 months were 81.2% and 75%, compared with 89.1% and 76.9 % for whole organs. Two modified techniques were developed, based on the technique of living related liver procurement, and applied in 10 cases. With these new techniques, patient and graft survival rates were 90% and 90%. This systematic approach allowed the total number of transplantations in our program to be maintained, despite the decrease in organ availability.
随着欧洲器官捐献率的下降，作者于1994年在其中心开始了一种系统性的肝脏劈离方法。在这一年的实践中，66例患者接受了73例尸体肝移植。其中16例移植是劈离式肝移植的结果（占移植物的21.9%，患者的24.2%）。3个月时患者和移植物存活率分别为81.2%和75%，而全肝移植分别为89.1%和76.9%。基于亲属活体肝获取技术开发了两种改良技术，并应用于10例患者。采用这些新技术后，患者和移植物存活率均为90%。尽管器官供应减少，但这种系统性方法使我们项目中的移植总数得以维持。
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