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肝脏移植百例回顾与展望 被引量:2

Review of 105 cases of orthotopic liver transplantation and the prospect
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摘要 目的总结肝移植手术成功的经验。方法回顾性分析我院最近3年来105例肝移植资料。结果所有手术均顺利完成,手术时间210~350min,平均250min;无肝期35~65min,平均53.5min。手术中输血0~6600ml,平均400ml。95例术后恢复顺利,10例死亡,手术成功率90.5%。术后并发症发生率:胆道并发症12例(11.4%),内出血6例(5.7%)。结论减少术中出血是肝移植手术成功的最关键因素,术中彻底止血、保证胆道有充足的血供能大大降低术后并发症的发生。 Objective To summarize the experience with orthotopic liver transplantation(OLT).Methods A retrospective analysis of 105 cases of liver transplantation in our hospital was carried out.Results All the 105 OLT operations were performed successfully and the operation time ranged from 210-350 min(mean 250 min),with anhepatic phase ranging from 35-65 min(mean 53.5 min) and blood transfusion during operation ranging from 0-6600 ml(mean 400 ml).Ninety-five patients recovered smoothly while the rest 10 died,with th...
出处 《南方医科大学学报》 CAS CSCD 北大核心 2009年第7期1420-1422,共3页 Journal of Southern Medical University
基金 广东省科技计划项目(2007B031514004) 南方医院院长基金(2005005)
关键词 肝移植 并发症 出血 liver transplantation complication hemostasis
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  • 1李健.肝移植围手术期出血及其治疗[J].中华血液学杂志,2004,25(9):575-576. 被引量:5
  • 2谢建国,严律南.肝移植在门静脉高压症治疗中的地位及围手术期处理[J].中国普通外科杂志,2005,14(6):404-406. 被引量:7
  • 3[1]Navarro F,Le Moino MC,Fabre JM,et al.Specific vascular complications of orthotopic liver transplantation with preservation of the retrohepatic vena cava:review of 1361 cases.Transplantation,1999,68(5):646
  • 4[2]Parrilla P,Sanchez-Bueno F,Figueras J,et al.Analysis of the complications of the piggy-back technique in 1112 liver transplants.Tranplantation,1999,67(9):1214
  • 5[3]Wu YM,Voigt M,Rayhill S,et al.Suprahepatic venacavaplasty(cavaplasty) with retrohepatic cava extension in liver transplantation:experience with first 115 cases.Transplantation,2001,72(8):1389
  • 6Wu YM,Voigt M,Rayhill S,et al.Suprahepatic venacavap lasty(cavaplasty) with retrohepatic cava extension in liver transplantation:experience with first 115 cases[J].Transplantation,2001,72(8):1389-1394.
  • 7McCaughan GW,Herkes R,Powers B,et al.Thrombocytopenia post liver transplantation.Correlations with pre-operative platelet count,blood transfusion requirements,allograft function and outcome[J].J Hepatol,1992,16(1-2):16-22.
  • 81,Starzl TE,Putnam CW,Hansbrough JF,et al. Biliary complicationsafter liver transplantation:with special reference to the biliary cast syndrome andtechniques of secondary duct repair. Surgery,1977,81(2):212~221.
  • 92,Kuo PC,Lewis WD,Stokes K,et al. A comparison of operation,endoscopic retrogradecholangiopancreatography,and percutaneous transhepatic holangiography in biliarycomplications after hepatic transplantation. J Am Coll Surg,1994,179(2):177~181.
  • 104,Sanchez UL,Gores GL,Ward EM,et al. Ischaemic type biliary complications afterorthotopic liver transplantation. Hepatology,1992,16(1):49~53.

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  • 1Andrew M. Cameron,Ronald W. Busuttil.Ischemic cholangiopathy after livertransplantation[J].Hepatobiliary & Pancreatic Diseases International,2005,4(4):495-501. 被引量:22
  • 2Bennett-Guerrero E, Feierman DE, Barclay GR, et aL Preoperative and intraoperative predictors of postoperative morbidity, poor graft function, and early rejection in 190 patients undergoing liver transplantation[ J ]. Arch Surg,2001, 136 (10): 1177-1183.
  • 3Zhou L, Rui JA, Wang SB, et al. The significance of serum AFP cut-off values, 20 and 400 ng/mL in curatively resected patients with hepatocellular carcinoma and cirrhosis might be of difference [ J ]. Hepatogastroen- terology, 2012, 59 (115): 840-843.
  • 4Ju M J, Qiu S J, Fan J, et al. Peritumoral activated hepatic stellate cells predict poor clinical outcome in hepatocellular carcinoma after curative resection[ J]. Am J Clin Pathol, 2009, 131 (4) : 498 -510.
  • 5Doyle MB, Vachharajani N, Maynard E, et al. Liver transplantation for hepatocellular carcinoma: long-term results suggest excellent outcomes[ J ]. J Am Coll Surg, 2012, 215 (1): 19-30.
  • 6Schiffman SC, Woodall CE, Kooby DA, et al. Factors associated with recurrence and survival following hepatectomy for large hepatocellular carcinoma: a multicenter analysis [ J ]. J Surg Oncol, 2010, 101 (2): 105-110.
  • 7Park KM, Kim KH, Lee SG, et al. Clinical value of APACHE scores in patients who require intensive care before liver transplantation [ J ]. Hepatogastroenterology, 2008, 55 (88): 2135-2139.
  • 8Mik~a M, Proell V, Fischer AN, et aL Activated hepatic stellate cells induce tumor progression of neoplastic hepatocytes in a TGF-beta dependent fashion [ J ]. J Cell Physiol, 2006, 209 (2) : 560 - 567.
  • 9Angus DC, Clermont G, Kramer DJ, et aL Short-term and long-term outcome prediction with the acute physiology and chronic health evaluation II system after orthotopie liver transplantation [ J ]. Crit Care Med, 2000, 28 (1): 150-156.
  • 10Knaus WA, Wagner DP, Draper EA, et aL The APACHE III prognostic system, risk prediction of hospital mortality for critically ill hospitalized adults [J]. Chest, 1991, 100 (6): 1619-1636.

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