摘要
目的总结肝脏移植供肝的快速切取和修整经验。方法分析2004年共186例快速供肝的切取和修整的资料。快速切取技术采用原位腹主动脉、肠系膜上静脉灌注附加下腔静脉引流，快速切取供肝，4℃UW液中保存和修整肝脏。结果供肝热缺血时间为3～10min，平均4．5min；冷缺血时间平均为3-16h，平均7h。供肝的修整时间为26～90min，平均46min。供肝修整时发现肝动脉解剖变异20例。结论快速供肝切取法要求术者技术娴熟、动作迅速和准确，可最大限度地减少供肝热缺血时间。快速切取法能保证供肝的质量和确保供肝切取的成功。
Objective To explore the method of rapid harvesting and back-table procedure of liver graft. Methods One hundred and eighty-six cases of liver grafts＇ harvesting and back-table procedure in 2004 were analyzed retrospectively. The short-term outcome after the operation was evaluated. Orthotopic abdominal aorta and superior mesentery vein perfusion with inferior vena cava drainage were applied in the method. Liver grafts were preserved and trimmed in 4℃ UW fluid. Results The warm ischemia time of liver graft was from 3 to 10 minutes and mean was 4. 5 minutes. The cold ischemia time was from 3 to 16 hours and mean was 7 hours. The time of back - table procedures was from 26 to 90 minutes and mean is 46 minutes. Twenty cases of liver artery abnormality were found in the study. Conclusion Harvesting and trimming of liver graft is the first and chief step of liver transplantation. The method of rapid procurement of liver graft can insure the quality of liver graft and the perfect donor operation.
出处
《中国实用外科杂志》
CSCD
北大核心
2006年第2期128-130,共3页
Chinese Journal of Practical Surgery
关键词
肝移植
供体
供肝切取技术
Liver transplantation
Donor
Procurement of liver graft
