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原位肝移植无肝期应用部分体外循环。

Use of partial cardiopulmonary bypass during the anhepatic phase of orthotopic liver grafting.

作者信息

Calne R Y, Smith D P, McMaster P, Craddock G N, Rolles K, Farman J V, Lindop M, Bethune D W, Wheeldon D, Gill R, Williams R

出版信息

Lancet. 1979 Sep 22;2(8143):612-4. doi: 10.1016/s0140-6736(79)91668-4.

DOI:10.1016/s0140-6736(79)91668-4
PMID:90273
Abstract

Femoro-femoral partial cardiopulmonary bypass has been used in two patients under going orthotopic liver allografting who had severe cardiovascular disturbances on trial clamping of their venae cavae. Flows of 2-3 litres/min resulted in satisfactory cardiovascular control during the anhepatic phase in each ase. A third patient who tolerated caval clamping withstood the grafting without bypass. Having bypass available for use in critical cases could increase the safety of orthotopic liver transplantation.

摘要

股-股部分体外循环已用于2例接受原位肝移植的患者,这2例患者在腔静脉试行阻断时出现严重的心血管紊乱。每分钟2至3升的血流量在每例患者的无肝期均实现了令人满意的心血管控制。第3例患者耐受腔静脉阻断,未行体外循环即完成了移植手术。在危急情况下能够使用体外循环可提高原位肝移植的安全性。

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1
Use of partial cardiopulmonary bypass during the anhepatic phase of orthotopic liver grafting.原位肝移植无肝期应用部分体外循环。
Lancet. 1979 Sep 22;2(8143):612-4. doi: 10.1016/s0140-6736(79)91668-4.
2
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Augmented venous return for minimally invasive open heart surgery with selective caval cannulation.用于选择性腔静脉插管的微创心脏直视手术的增强静脉回流
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Current trends in vena cava reconstructive techniques with major liver resection: a systematic review.大肝切除术中腔静脉重建技术的当前趋势:系统评价。
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SEALIVE: the use of technical vessel-sealing devices for recipient hepatectomy in liver transplantation: study protocol for a randomized controlled trial.
SEALIVE:肝移植中用于受体肝切除术的技术血管封闭装置的应用:一项随机对照试验的研究方案
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Methods to decrease blood loss and transfusion requirements for liver transplantation.减少肝移植术中失血及输血需求的方法。
Cochrane Database Syst Rev. 2011 Dec 7;2011(12):CD009052. doi: 10.1002/14651858.CD009052.pub2.
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VENO-VENOUS BYPASS WITHOUT SYSTEMIC ANTICOAGULATION IN CANINE AND HUMAN LIVER TRANSPLANTATION.犬类和人类肝脏移植中无全身抗凝的静脉-静脉旁路
Surg Forum. 1983;34:380-382.
6
Factors in the Development of Liver Transplantation.肝移植发展的因素
Transplant Proc. 1985 Oct;17(Suppl 2):107-119.
7
The need for venovenous bypass in liver transplantation.肝移植中静脉-静脉旁路的需求。
HPB (Oxford). 2008;10(3):196-203. doi: 10.1080/13651820801953031.
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Use of cardiopulmonary bypass, hypothermic perfusion, and circulatory arrest in the surgical management of basilar artery aneurysm.体外循环、低温灌注和循环停止在基底动脉动脉瘤手术治疗中的应用。
Cardiovasc Dis. 1980 Dec;7(4):429-432.
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Liver transplantation comes of age.肝移植已走向成熟。
Br Med J (Clin Res Ed). 1981 Aug 22;283(6290):557. doi: 10.1136/bmj.283.6290.557-a.
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Improved survival after orthotopic liver grafting.原位肝移植后生存率提高。
Br Med J (Clin Res Ed). 1981 Jul 11;283(6284):115-8. doi: 10.1136/bmj.283.6284.115.