23例肝移植患者中使用受者脾动脉进行动脉重建的结果。
Results of using the recipient's splenic artery for arterial reconstruction in liver transplantation in 23 patients.
作者信息
Figueras J, Parés D, Aranda H, Rafecas A, Fabregat J, Torras J, Ramos E, Lama C, Lladó L, Jaurrieta E
机构信息
Liver Transplant Unit, Ciutat Sanitaria i Universitaria Bellvitge, University of Barcelona, Spain.
出版信息
Transplantation. 1997 Aug 27;64(4):655-8. doi: 10.1097/00007890-199708270-00020.
BACKGROUND
Arterial reconstruction is essential in liver transplantation. In some patients there may be an inadequate flow as a result of stenosis, intimal dissection, or anomalies of the hepatic artery.
METHODS
This study analyzes our experience with 23 patients in whom arterial anastomosis was performed using the splenic artery due to the inadequacy of the hepatic artery. During the same period an aortoiliac conduit was used in 12 liver transplantations due to the same problem.
RESULTS
No splenic infarction, pancreatitis, or other related complications were found. Artery thrombosis developed in only two patients in the aortoiliac conduit group. One- and three-year patient actuarial survival were 78% vs. 80% and 72% vs. 80%, respectively, for the splenic artery group and the aortoiliac conduit group.
CONCLUSIONS
Anastomosis with the splenic artery is an alternative in liver transplantation and is particularly suitable when splenomegaly is present.
背景
动脉重建在肝移植中至关重要。在一些患者中，由于肝动脉狭窄、内膜剥离或异常，可能会出现血流不足的情况。
方法
本研究分析了我们对23例因肝动脉不足而使用脾动脉进行动脉吻合的患者的经验。在同一时期，由于同样的问题，12例肝移植使用了主动脉-髂动脉管道。
结果
未发现脾梗死、胰腺炎或其他相关并发症。主动脉-髂动脉管道组仅2例患者发生动脉血栓形成。脾动脉组和主动脉-髂动脉管道组的1年和3年患者精算生存率分别为78%对80%和72%对80%。
结论
脾动脉吻合是肝移植的一种替代方法，尤其适用于存在脾肿大的情况。
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