原位肝移植供肝动脉变异的修整与重建  

Preparation and reconstruction of hepatic artery anatomic variations of donor liver in orthotopic liver transplantation

作　　者：乔兵兵[1] 叶启发[1] 明英姿[1] 叶少军[1] 易彦博[1] 李柯[1] 

机构地区：[1]中南大学湘雅移植医学研究院中南大学湘雅三医院,湖南长沙410013

出　　处：《中国普通外科杂志》2009年第1期23-26,共4页China Journal of General Surgery

基　　金：卫生部部属临床重点学科项目(98040362)

摘　　要：目的探讨原位肝移植供肝动脉变异的修整与重建的方法与技巧。方法回顾性分析91例原位肝移植供肝修整以及变异肝动脉重建时处理的方法和技巧。结果修整的91例供肝全部用于肝移植。发现其中20例(21.9%)存在肝动脉解剖变异,20例中12例需行变异肝动脉重建,动脉重建方法包括将变异的肝右动脉与脾动脉(7/12)或胃十二指肠动脉(5/12)吻合。供肝应用后未出现与修整相关的手术并发症。Objective To investigate the methods of hepatic artery （ HA ） preparation and reconstruction in donors with HA anatomic variations in orthotopic liver transplantation. Methods A retrospective analysis was applied to find the methods and skills of donor liver and hepatic artery （ HA ） reconstruction in the 91 cases of orthotopic liver transplantation. Results All allografts prepared were used for liver transplantation. Twenty of 91 （ 21.9 % ） allografts had hepatic artery anatomical variations, and reconstructive anastomosis was performed in 12 cases. Splenic artery （7/12）and gastro-duodenal artery （5/12）were used for anastomosis to the variant right hepatic artery. No complications resulted from donor liver preparation postoperatively. Conclusions Correct donor liver preparation and hepatic artery （ HA ） reconstruction in donors can decrease the incidence of hepatic artery and biliary complications.

关 键 词：肝移植 供肝修整 肝动脉重建 手术后并发症 

分 类 号：R617[医药卫生—外科学]