Kawamoto S, Pillay S P, Lynch S V, Ong T H, Wall D R, Yamanaka J, Strong R W
The Queensland Liver Transplant Service, Princess Alexandra Hospital, The University of Queensland, Woolloongabba, Australia.
Surg Today. 1998;28(12):1237-41. doi: 10.1007/BF02482806.
Of 372 patients who underwent liver transplants between January 1985 and March 1995, 7 required variations in vascular anastomoses due to discrepancies in the size-match of the donor and recipient vessels, the presence of a thrombosed hepatic artery or portal vein, or complete absence of the portal vein. The techniques described herein enabled us to perform successful transplantation in all patients. Although rethrombosis of the portal vein developed in one patient after a third transplant, this patient remains clinically well. The use of an operating microscope and the harvesting of an extended length of donor superior mesenteric vein or vascular grafts of the donor iliac or saphenous vessels, for potentially difficult transplants, are invaluable techniques.
在1985年1月至1995年3月期间接受肝移植的372例患者中，有7例因供体和受体血管大小匹配不一致、肝动脉或门静脉血栓形成或门静脉完全缺失而需要进行血管吻合变异。本文所述技术使我们能够在所有患者中成功进行移植。尽管有1例患者在第三次移植后门静脉再次形成血栓，但该患者临床状况良好。对于潜在困难的移植，使用手术显微镜以及获取较长长度的供体肠系膜上静脉或供体髂血管或大隐静脉血管移植物是非常宝贵的技术。
