猪背驮式原位肝移植的手术技巧  

Operational techniques of piggy back orthotopic liver transplantation in pigs

作　　者：齐海智[1] 苗雄鹰[1] 赵华[1] 胡辅珍[1] 钟德王午 姜晓华[1] 黄江生[1] 胡伟[1] 

机构地区：[1]湖南医科大学附属第二医院普外科,湖南长沙410011

出　　处：《中国普通外科杂志》2000年第5期427-429,共3页China Journal of General Surgery

摘　　要：目的　改进和完善猪背驮式原位肝移植 (PBOLT)手术 ,为临床背驮式原位肝移植提供帮助。方法　根据猪的解剖和血流动力学特点 ,采用缝扎法切除受肝 ,减少输血量以减轻门静脉淤血。结果　实施猪PBOLT 1 6次 ,术后存活 1 3头 ,手术成功率 81 3%。平均无肝期 34min± 1 2min ,平均手术时间 7h± 1h。结论　改进和完善手术技巧 。Objective To improve the operative techniques of piggy back orthotopic liver transplantation(PBOLT) for assistance of the clinical application. Methods This operation was carried out on pigs, based on the anatomic and hemodynamic characteristics of the pig. The liver was resected by suture, ligation and division of the liver. To reduce portal venous congestion, blood transfusion was strictly controlled during operation. Results PBOLT was carried out on 16 pigs and 13(81.3%) survived after operation. The average anhepatic period was 34?min±12?min, the average operative times was 7?h±1?h. Conclusions Improving the operation techniques and reducing portal vein congestion are the key points for a successful PBOLT.

关 键 词：肝移植/方法 动物 实验 

分 类 号：R657.305[医药卫生—外科学]