You Position: Home > Paper
Liver transplantation for hepatocellular carcinoma with thrombosis or cancer emboli in portal vein
( views:473, downloads:52 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF ORGAN TRANSPLANTATION
- Issue:
- 3
- DOI:
- 10.3760/cma.j.issn.0254-1785.2005.03.002
- Key Word:
- 肝移植;门静脉;栓塞和血栓形成;癌,肝细胞
Abstract： 目的探讨存在门静脉血栓或癌栓的肝癌患者进行肝移植的处理要点.方法对10例存在门静脉血栓或癌栓的肝癌患者施行原位肝移植术,术前常规准备供者的髂静脉,供肝保留较长的门静脉;术中注意取尽受者门静脉内的血栓或癌栓,门静脉壁存在水肿、增厚、变硬者,尽可能切除这段门静脉;9例行低位门静脉对端吻合,1例行门静脉-下腔静脉的对端吻合;术后根据患者的凝血功能状态决定是否进行抗凝治疗.结果1例术后第6 d发生门静脉血栓形成,溶栓术后因腹腔内出血、失血性休克死亡;另9例术后门静脉血流通畅,随访2～31个月,其中1例术后2个月死于感染,4例术后7、12、13、25个月肿瘤复发,其余4例无肿瘤复发.结论术前存在门静脉血栓或癌栓的肝癌患者,只要处理得当,采用肝移植治疗可以取得较好结果.
- [1]王自法,朱岳,John J.Fung.肝脏移植术后的外科并发症[J].2001,(2).
- [2]Nery J,Dodson F,Khan F,etc.Liver transplantation with cavoportal hemitransposition in the presence of diffuse portal vein thrombosis.[J].1998,65(5).
- [3]Olausson M,Norrby J,Mjornstedt L,etc.Liver transplantation using cavoportal hemitransposition- a life-saving procedure in the presence of extensive portal vein thrombosis.[J].2001,33(1/2).
- [4]Yerdel MA,Mirza D,Karayalcin K,etc.Portal vein thrombosis in adults undergoing liver transplantation: risk factors, screening, management, and outcome (see comments)[J].2000,69(9).
- [5]Sanjuan F,Asensi J,Orbis P,etc.Liver transplantation in patients with portal vein thrombosis.[J].2001,7(2).
- [6]Santaniello W,Ceriello A,Defez M,etc.Liver transplant with cavoportal hemitransposition for portal and mesenteric thrombosis: case report.[J].2001,33(1/2).