背驮式原位肝移植术  

IN SITU PIGGYBACK LIVER TRANSPLANTATION

作　　者：吴新民[1] 辛维藩[1] 郑大为[1] 秦长春[1] 赵顺云[1] 

机构地区：[1]青海省人民医院普外科

出　　处：《青海医学院学报》2001年第3期7-8,共2页Journal of Qinghai Medical College

摘　　要：目的　探讨背驮式肝移植的手术方法。方法　对 1例患肝炎后肝硬变合并门脉高压症的终末期病人实行了背驮式同种原位肝移植术。结果　手术历时 5小时 10分钟 ,手术获得成功 ,病人术后恢复良好。结论　背驮式肝移植手术要保留肝后下腔静脉及肝静脉 ,对切除病肝技术要求高 ,术中无肝期短 ,对血流动力学干扰小。由于不需静脉转流 ,缩短了手术时间 。Aim to discusses the surgical procedure of piggyback liver transplantation.Methods piggyback liver transplantation was performed on one patient with In situ transplantation of liver by piggyback method stage posthepatitis cirrhosis complicated with portal hypertension.Results after 5 hours and ten minutes successful operation,the patient was recovered well.Conclusions(1) piggyback liver transplantation require a higher technique for resection of disease liver due to reserve posterior inferior vena cave of liver and hepatic vein;(2)the disturbance to blood circulation is lesser because of shorter period of the liver resection;(3)the duration of operation is shorter because of without venous bypass and the patient was recovered rapidly.

关 键 词：肝脏 移植 肝硬变 

分 类 号：R657.3[医药卫生—外科学]