背驮式肝移植术及其并发症的预防  

Piggyback Technique and Prevention of Its' Complications

作　　者：彭民浩 卢榜裕 杨定华 刘敬臣 陈滨 

出　　处：《中国现代手术学杂志》2001年第1期18-20,共3页Chinese Journal of Modern Operative Surgery

基　　金：广西自然科学基金!资助项目 (合同号 :9532 0 0 6)

摘　　要：目的　探讨同种原位背驮式肝移植术 (PBOLT)常见手术并发症的预防。　方法　 4例终末期良性肝病行5次PBOLT ,其中 2例为肝肾联合移植 ,1例为肝移植术后慢性排斥行再次肝移植。　结果　 5次肝移植术后肝功能恢复良好 ,未发生与背驮式手术相关的并发症 ,最长存活 1年 ,生活质量良好。　结论　PBOLT可适用于任何终末期良性肝病患者 ,包括再次肝移植。正确处理第三肝门 ,以三根肝静脉成形后与供肝肝上下腔静脉吻合 ,术中维持血液动力学稳定是减少或避免该术式有关手术并发症的重要措施。Objective To investigate the prevention of the common complications of piggy back orthotopic liver transplantation(PBOLT). Methods 4 cases (5 times) of PBOLT were performed for the benign end stage liver diseases. Two cases among them received combined transplantation of the liver and kidney, another one underwent liver retransplantation for the previous transplanted liver suffering from chronic rejection. Results The liver function restored satisfactorily after the operation in all patients. No complications relative to the piggy back technique were found. The longest survival was one year and the patient got a good quality of life. Conclusions The piggy back technique can be used routinely in all patients with benign end stage liver disease and patients who need retransplantation. Take care of the management of the third porta hepatis, and using of the patch obtained by joining the three suprahepatic veins for the anastomosis and maintaining a stable intraoperative hemodynamics are most appropriate for preventing the postoperative complications.

关 键 词：背驮式肝移植 并发症 预防 PBOLT 

分 类 号：R657.3[医药卫生—外科学]