儿童肝移植肝动脉显微重建技术探讨  

Discussion on microsurgical technique to hepatic artery reconstruction in pediatric liver transplantation

作　　者：沈丛欢[1] 陶一峰[1] 李瑞东[1] 张全保[1] 张晓飞[1] 王正昕[1] 

机构地区：[1]复旦大学附属华山医院普外科,上海200040

出　　处：《肝胆外科杂志》2016年第5期344-346,共3页Journal of Hepatobiliary Surgery

基　　金：国家自然科学基金面上项目(81270551)

摘　　要：目的探讨儿童肝移植术中肝动脉的显微重建技术,以降低肝动脉栓塞的发生率,提高患儿生存率。方法回顾性分析2015年4月至2016年7月间实施的22例儿童肝移植病例,肝动脉显微重建采用10倍显微镜下的显微外科重建技术,分别观察儿童活体供肝肝移植和DCD供肝肝移植术后发生肝动脉栓塞并发症的发生情况。结果 22例儿童肝移植中16例为活体部分肝移植(左外叶12例,扩大左外叶1例,不带肝中静脉右半肝3例),6例为DCD供肝移植。两组均无术后肝动脉栓塞的病例发生。结论应用显微外科技术行肝动脉重建能降低儿童肝移植术后肝动脉栓塞发生率,取得满意效果。Objective To explore the value of the microsurgical technique in the hepatic artery of pediatric liver transplanta- tion. Methods From April 2015 to July 2016, we performed pediatric liver transplantation for 22 patients and summarize the result of hepatic artery thrombosis （HAT） and other postoperative complications of living donor （ LD ） and donor after cardiac （ DCD ） liver transplantation. Results There were 16 cases of LD and 6 cases of DCD liver transplantation. No HAT occurred between the two groups. Conclusions The microsurgical reconstruction of hepatic artery can significantly decrease the incidence of postoperative HAT in pediatric liver transplantation.

关 键 词：儿童肝移植 肝动脉栓塞 显微外科 

分 类 号：R575[医药卫生—消化系统]