活体部分小肠移植的植入技术  

The Operative Technique Experience of Living-related Small Bowel Transplantation

作　　者：侯明星[1] 孙晓风[1] 赵海平[1] 罗力[1] 邬新林[1] 董培德[1] 

机构地区：[1]内蒙古医学院附属医院胃肠外科,呼和浩特010050

出　　处：《中国现代医生》2008年第3期20-21,共2页China Modern Doctor

摘　　要：目的探讨临床带有残余肠道吻合口瘘活体小肠移植手术经验。方法我们对一例带有残余肠道吻合口瘘的57岁短肠综合征的男性病人,进行了一期活体小肠移植,供体为其32岁的次子,切取供体时完成修剪工作,受体在剔出原吻合口瘘后,移植物血管吻合于肾下腹主动脉、腔静脉。结果病人术后恢复顺利,移植肠功能良好,生活自理。结论对带有残余肠道吻合口瘘的短肠综合征病人可以进行小肠移植,改进手术方式可缩短手术冷缺血时间。Objective To summarize the experience during operation in hying related small bowel transplantation. Methods An 57 years old man with short gut syndrome and ileus--colon anastomosis fistula underwent the living related small bowel transplantation,with the graft taken from his second son（32 years old）. A segment of 150 cm distal small bowel was resected from the donor and irrigated with UW solution. After the fistula was resected, the donors ilecolic artery and vein were anastomosed to the recipients＇ infrarenal aorta and inferior vena cava respectively. Results Up to the time, this report submitted the recipient has enjoyed good life quality for 74 days,the graft small bowel remains functional. Conclusion The living related small bowel transplantation cures the short gut syndrome in this case,fistula can be resected safely,the operative technique was the key of successful transplantation.

关 键 词：小肠移植 移植手术 

分 类 号：R574.5[医药卫生—消化系统]