Sheil A G, Stephen M S, Chui A K, Ling J, Bookallil M J
Australian National Liver Transplantation Unit, Royal Prince Alfred Hospital, Royal Alexandra Hospital for Children, Camperdown, Australia.
Clin Transplant. 1997 Feb;11(1):71-3.
A liver transplant technique is described in a patient with a thrombosed portal vein and a functioning surgically created renal-lieno shunt. Permanent portal inflow to the graft was provided by division of the left renal vein (LRV) at its junction with the inferior vena cava and anastomosis of the LRV end-to-end with the donor portal vein. Although this results in splanchnic blood traversing a 360 degree roundabout from the superior mesenteric vein via the splenic and disconnected left renal veins to the donor portal vein, the anastomosis lay well and the procedure was successful.
本文描述了一种肝移植技术，该技术应用于一名门静脉血栓形成且存在功能性外科肾脾分流的患者。通过在左肾静脉（LRV）与下腔静脉交界处切断左肾静脉，并将左肾静脉与供体门静脉进行端端吻合，为移植肝提供永久性门静脉血流。尽管这会导致内脏血液从肠系膜上静脉经脾静脉和已离断的左肾静脉绕一个360度的圈到达供体门静脉，但吻合口情况良好，手术成功。
