肝后腔静脉成形术行原位肝移植103例
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王 轩, 陆 雷, 张 斌, 李增才, 郑以山, 许正昌
肝移植;肝后腔静脉成形术;背驮式,王轩,陆雷,张斌,李增才,郑以山,许正昌,通讯作者:,Suprahepaticvenacavaplastyinlivertransplantation:ananalysisof103cases,XuanWang,LeiL
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王轩, 陆雷, 张斌, 李增才, 郑以山, 许正昌, 解放军81医院肝移植中心 江苏省南京市 210002
通讯作者: 王轩, 210002, 江苏省南京市杨公井34标34号, 解放军81医院肝移植中心. wangxucn2002@hotmail.com
电话: 025-80864033 传真: 025-84458291
收稿日期: 2006-09-28 接受日期: 2006-10-26
Suprahepatic venacavaplasty in liver transplantation: an analysis of 103 cases
Xuan Wang, Lei Lu, Bin Zhang, Zeng-Cai Li, Yi-San Zhen, Zheng-Chang Xu
Xuan Wang, Lei Lu, Bin Zhang, Zeng-Cai Li, Yi-San Zhen, Zheng-Chang Xu,Liver Transplantation Center, the 81st Hospital of Chinese PLA, Nanjing 210002, Jiangsu Province, China
Correspondence to:Xuan Wang, Liver Transplantation Center, the 81st Hospital of Chinese PLA, Nanjing 210002, Jiangsu Province, China. wangxucn2002@hotmail.com
Received:2006-09-28 Accepted:2006-10-26
Abstract
AIM: To explore the values of suprahepatic venacavaplasty (cavaplasty) in liver transplan-tation.
METHODS: The new orthotopic liver transplantation procedure combined with cavaplasty was conducted in 103 patients.
RESULTS: There were no perioperative deaths in this study. The median operative and anhepatic-phase time in cavaplasty group (6.8 ± 0.8 h and 52.6 ± 14.5 min, respectively) were significantly shorter than those in classic and modified piggyback groups (7.4 ± 0.6 h, 86.5 ± 7.1 min; 7.9 ± 0.6 h, 78.4 ± 7.94 min) reported recently by other data, and blood loss was also less in cavaplasty group (2960 ± 1120 mL) than those in latter two groups (4662 ± 913 mL; 4441 ± 1072 mL). Post-operative acute renal failure occurred in 30 cases (29.1%), similar to that in classic group but higher than that in modified piggyback group. All the patients with acute renal failure recovered within 3 to 4 weeks.
CONCLUSION: Cavaplasty can simplify the resection procedure of the diseased liver and implantation of new liver, and reduce the operative time and blood loss during transplantation process, indicating that cavaplasty is safe, and should be clinically recommended ......
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