肝动脉-腹主动脉搭桥在原位肝移植术中的应用

被引:6
作者
冉江华
张升宁
李铸
刘静
李来邦
吴淑媛
李立
机构
[1] 云南省昆明市第一人民医院肝胆胰一科
关键词
肝移植; 肝动脉; 髂动脉移植物;
D O I
暂无
中图分类号
R657.3 [肝及肝管];
学科分类号
摘要
目的探讨供肝动脉与受体肾动脉下的腹主动脉之间用同一供体的骼动脉进行搭桥的方法及其相关并发症的影响因素。方法回顾性分析8例使用同一供体的髂动脉进行肾动脉平面以下肝动脉-腹主动脉搭桥的肝移植术临床资料。结果8例患者术中肝动脉-腹主动脉搭桥用时53~126min,术后发生胆瘘1例,胆道感染并肝内胆汁瘤形成1例,其余6例患者恢复顺利,肝功能1周左右恢复正常;无肝动脉并发症发生。结论使用供体髂血管进行肝动脉-腹主动脉搭桥,对于无法行常规肝动脉吻合的受体是一种安全、有效的方法。
引用
收藏
页码:102 / 105
页数:4
相关论文
共 10 条
  • [1] Late onset arterial conduit aneurysm in a liver transplant patient
    Haider, Hani H.
    Nishida, Seigo
    Zamora, Ricardo
    Mekala, Durga
    Arosemena, Mariano
    Scagnelli, Thomas
    Tzakis, Andreas G.
    [J]. TRANSPLANT INTERNATIONAL, 2007, 20 (07) : 643 - 644
  • [2] Cryopreserved iliac artery is indispensable interposition graft material for middle hepatic vein reconstruction of right liver grafts
    Hwang, S
    Lee, SG
    Ahn, CS
    Park, KM
    Kim, KH
    Moon, DB
    Ha, TY
    [J]. LIVER TRANSPLANTATION, 2005, 11 (06) : 644 - 649
  • [3] Arterial conduits for hepatic artery revascularisation in adult liver transplantation
    Muralidharan, V
    Imber, C
    Leelaudomlipi, S
    Gunson, BK
    Buckels, JAC
    Mirza, DF
    Mayer, AD
    Bramhall, SR
    [J]. TRANSPLANT INTERNATIONAL, 2004, 17 (04) : 163 - 168
  • [4] Hepatic artery thrombosis after adult liver transplantation
    Stange, BJ
    Glanemann, M
    Nuessler, NC
    Settmacher, U
    Steinmüller, T
    Neuhaus, P
    [J]. LIVER TRANSPLANTATION, 2003, 9 (06) : 612 - 620
  • [5] Use of arterial conduit as an alternative technique in arterial revascularization during orthotopic liver transplantation
    Zamboni, F
    Franchello, A
    Ricchiuti, A
    Fop, F
    Rizzetto, M
    Salizzoni, M
    [J]. DIGESTIVE AND LIVER DISEASE, 2002, 34 (02) : 122 - 126
  • [6] Uni- and multi-variate analysis of risk factors for early and late hepatic artery thrombosis after liver transplantation
    Oh, CK
    Pelletier, SJ
    Sawyer, RG
    Dacus, AR
    McCullough, CS
    Pruett, TL
    Sanfey, HA
    [J]. TRANSPLANTATION, 2001, 71 (06) : 767 - 772
  • [7] PRESERVED VASCULAR HOMOGRAFT FOR REVASCULARIZATION OF PEDIATRIC LIVER TRANSPLANT1: A Clinical, Histological, and Bacteriological Study[J] . J. A. Martínez,W. Rigamonti,J. Rahier,J. Gigi,J. Lerut,J. de Ville de Goyet,J. B. Otte,R. Reding.Transplantation . 1999 (5)
  • [8] Urgent revascularization of liver allografts after early hepatic artery thrombosis
    Pinna, AD
    Smith, CV
    Furukawa, H
    Starzl, TE
    Fung, JJ
    [J]. TRANSPLANTATION, 1996, 62 (11) : 1584 - 1587
  • [9] FAILURE PATTERNS OF CRYOPRESERVED VEIN GRAFTS IN LIVER TRANSPLANTATION1,2[J] . Anna A. Kuang,John F. Renz,Linda D. Ferrell,Ernest J. Ring,Philip Rosenthal,Robert C. Lim,John P. Roberts,Nancy L. Ascher,Jean C. Emond.Transplantation . 1996 (6)
  • [10] THE ANTERIOR ROUTE FOR ARTERIAL GRAFT CONDUITS IN LIVER-TRANSPLANTATION
    TZAKIS, A
    TODO, S
    STARZL, TE
    [J]. TRANSPLANT INTERNATIONAL, 1989, 2 (02) : 121 - 121