Patenaude Y G, Dubois J, Sinsky A B, Oudjhane K, Patriquin H B, Miron M C, Garel L, Grignon A, Decarie J C, Filiatrault D
Department of Medical Imaging, Montreal Children's Hospital, QC.
Can Assoc Radiol J. 1997 Dec;48(5-6):333-9.
The first attempted human orthotopic liver transplantation, in 1963, involved a child with biliary atresia, who died on the operating table as a result of uncontrollable coagulopathy. Improvements in immunosuppression, surgical technique, medical imaging and postoperative care, as well as more stringent patient selection, have allowed the development of liver transplantation and its universal acceptance as the treatment for a variety of liver diseases. The radiologist plays a major role in the multidisciplinary transplantation team and must be familiar with each stage of orthotopic liver transplantation and its associated complications. In the first article of this series (Can Assoc Radiol J 1997;48[3]: 171-178), the authors reviewed the anatomic features and current concepts relevant to orthotopic liver transplantation. In the second article (Can Assoc Radiol J 1997;48[4]: 231-242), they discussed the vascular and biliary complications of the operation. This, the third and final article in the series, covers the medical complications.
1963年首次尝试的人体原位肝移植手术的对象是一名患有胆道闭锁的儿童，该儿童因无法控制的凝血病死在了手术台上。免疫抑制、手术技术、医学成像及术后护理的改进，以及更严格的患者选择标准，推动了肝移植技术的发展，并使其被广泛接受为治疗多种肝脏疾病的方法。放射科医生在多学科移植团队中发挥着重要作用，必须熟悉原位肝移植的每个阶段及其相关并发症。在本系列的第一篇文章（《加拿大放射学会杂志》1997年；48[3]：171 - 178）中，作者回顾了与原位肝移植相关的解剖学特征和当前概念。在第二篇文章（《加拿大放射学会杂志》1997年；48[4]：231 - 242）中，他们讨论了该手术的血管和胆道并发症。本系列的第三篇也是最后一篇文章涵盖了医学并发症。
