Fan S T, Lo C M, Liu C L
Department of Surgery, University of Hong Kong, Queen Mary Hospital, Hong Kong.
Hepatogastroenterology. 1998 Jan-Feb;45(19):34-9.
Between September 1993 and November 1996, donor hepatectomy was performed in 22 living donor liver transplantation at Queen Mary Hospital, Hong Kong. In these donor operations, 7 extended right lobe grafts, 6 extended left lobe grafts and 9 left lateral segment grafts were obtained. The technique of donor operations consisted of initial hilar dissection, mobilization of the liver lobe, transection of the liver using ultrasonic dissector (without inflow or outflow vascular occlusion) at a plane on the left side of the middle hepatic vein for an extended right lobe graft, on the right side of the middle hepatic vein for an extended left lobe graft or on the right side of falciform ligament for a left lateral segment graft. The median blood loss was 775 ml. Complications occurred in 2 donors: one had incisional hernia and the other had biliary stricture. Both were treated successfully by re-operation. Currently all donors are well with completely normal liver biochemistry.
1993年9月至1996年11月期间，香港玛丽医院对22例活体供肝肝移植受者实施了供肝切除术。在这些供肝手术中，获取了7例右肝扩大叶移植物、6例左肝扩大叶移植物和9例左外叶移植物。供肝手术技术包括首先进行肝门解剖、游离肝叶，对于右肝扩大叶移植物，在肝中静脉左侧平面、左肝扩大叶移植物在肝中静脉右侧平面、左外叶移植物在镰状韧带右侧平面，使用超声刀横断肝脏（不阻断流入或流出血管）。术中失血中位数为775 ml。2例供者出现并发症：1例发生切口疝，另1例发生胆管狭窄。二者均经再次手术成功治疗。目前所有供者情况良好，肝脏生化指标完全正常。
