You Position: Home > Paper
Application of duct-to-duct biliary reconstruction in living donor liver transplantation
( views:241, downloads:16 )
- Author:
- No author available
- Journal Title:
- WORLD CHINESE JOURNAL OF DIGESTOLOGY
- Issue:
- 21
- DOI:
- 10.3969/j.issn.1009-3079.2005.21.025
- Key Word:
- 活体肝移植;胆道重建;胆道并发症
Abstract： 目的:探讨端端吻合胆道重建在临床活体肝移植中的应用效果、并发症及处理原则.方法:回顾性分析活体肝移植24例临床资料;其中右半肝活体肝移植6例,左半肝移植16例,左外叶2例;胆道重建均采用供肝肝管与受体胆管端端吻合,并置"T"管外引流.结果:24例活体肝移植中,18例采用供肝的左肝管和受体的胆总管吻合,5例采用供肝的右肝管和受体的肝总管吻合,1例右肝管是两个开口,将右前肝管和受体的肝总管行端端吻合,右后肝管与胆总管行端侧吻合.2例患者发生胆漏;1例出现胆道狭窄;术后胆管炎2例;1例术后3 mo拔"T"管后出现胆汁性腹膜炎,再次行胆道引流术,术后恢复.胆道并发症总发生率为25%;发生时间在术后2 d-9 mo.结论:端端吻合胆管重建是活体肝移植中胆管重建的可行、有效的方法.
- [1]陈规划,陆敏强,何晓顺,等.原位肝移植术后胆道并发症的预防与诊治[J].2003,(1).
- [2]王学浩,李相成,张峰,等.活体肝移植的几点关键外科技术[J].2003,(1).
- [3]李相成,王学浩,张峰,等.显微外科技术在肝移植动脉重建中的应用[J].2002,(3).
- [4]Smoter P,Nyckowski P,Niewczas M,etc.Biliary tract complications following liver transplantation.[J].2003,35(6).
- [5]Bagous W,Stratta RJ,Grewal HP,etc.Duct-to-duct biliary reconstruction in right lobe adult living donor liver transplantation.[J].2001,192(6).
- [6]Asonuma K,Inomata Y,Hayashi M,etc.Biliary anastomotic complications in 400 living related liver transplantations.[J].2001,25(10).
- [7]Steinberg T,Trotter J,Trouillot T,etc.Adult-to-adult living donor liver transplantation using right-lobe grafts: results and lessons learned from a single-center experience.[J].2001,7(8).
- [8]T L, Huang,Y F, Cheng,C L, Chen,etc.Variants of the bile ducts: clinical application in the potential donor of living-related hepatic transplantation.[J].1996,28.
- [9]A, Marcos,J M, Ham,R A, Fisher,etc.Single-center analysis of the first 40 adult-to-adult living donor liver transplants using the right lobe.[J].2000,6(3).