再论背驮式肝移植技术改良  

Ameliorated piggyback liver transplantation

作　　者：张秋艳[1] 范林[1] 叶啟发[1] 

机构地区：[1]武汉大学肝胆疾病研究院武汉大学中南医院,430071

出　　处：《中华肝胆外科杂志》2015年第4期278-280,共3页Chinese Journal of Hepatobiliary Surgery

基　　金：国家自然科学基金重点项目（21334005）;湖北省自然科学基金项目（2012FFA044;2013CFB258）;武汉市科学技术计划项目（2013060705010326;2013060602010247）;中央高校基本科研业务费专项资金（303274022;303247056;2042014kf0101）

摘　　要：经典背驮式肝移植作为原位肝移植技术的一种改进,较经典原位肝移植有诸多优点,但是也存在术式复杂、术后易并发肝静脉流出道梗阻及血栓形成等局限.针对上述问题,近年来国内外提出了数种改良背驮式肝移植术式.这些改良术式很大程度上解决了上述问题,并扩大了背驮式肝移植的应用范围.本文就目前背驮式肝移植的改良术式作一综述,并探讨其各自的特点.Classical piggyback liver transplantation （CPBLT） is an advanced technique based on standard orthotopic liver transplantation （SOLT）,which has more advantages compared to the SOLT.However,there are still some problems with CPBLT to be solved,such as complicated surgical procedures,postoperative hepatic venous outflow obstruction and thrombosis.Recently,in order to solve these problems,modifications have been made,being named ameliorated piggyback liver transplantation （APBLT）.The APBLT solved above-mentioned problems,and expanded the application of PBLT.Therefore,this article describes the technique of these ameliorations,and discusses their individual characteristics.

关 键 词：改良背驮式肝移植 肝静脉 门静脉 肝后下腔静脉 临时性门腔分流 

分 类 号：R657.3[医药卫生—外科学]