Pillay S P, Lynch S, Strong R W, Ong T H, Kawamoto S, Yamanaka J
Queensland Liver Transplant Service, Princess Alexandra Hospital, Woolloongabba, Brisbane, Australia.
J Pediatr Surg. 1995 Dec;30(12):1698-9. doi: 10.1016/0022-3468(95)90455-7.
The authors describe a new technique that used the donor common iliac vein and its bifurcation into the external iliac and internal iliac veins to replace the retrohepatic vena cava; this was used in a recipient who underwent her second reduced-size transplantation (segments II and III). Anastomosis of the donor hepatic vein to the internal iliac vein, with use of this segment of the venous graft to replace the retrohepatic vena cava, is for patients who have had more than one surgical procedure before liver transplantation.
作者描述了一种新技术,该技术利用供体的髂总静脉及其分为髂外静脉和髂内静脉的分叉处来替代肝后下腔静脉;这一技术应用于一名接受第二次减体积肝移植(Ⅱ段和Ⅲ段)的受者。对于在肝移植前接受过不止一次外科手术的患者,可将供体肝静脉与髂内静脉进行吻合,并利用这段静脉移植物替代肝后下腔静脉。