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体外静脉转流原位肝移植一例

Orthotopic liver transplantation with extracorporeal venovenous bypass: One case report
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摘要 目的采用肝脏移植治疗伴有肝硬化的原发性肝癌。方法在动物实验的基础上,供肝采用快速切取,4℃UW液灌注和保存,手术采用体外静脉转流肝脏移植技术。结果手术历时12小时,无肝期100分钟,术中血流动力学平稳,术后肾功能正常。 Objective Orthotopic liver transplantation was successfully performed on a patient with hepatocellular carcinoma (HCC) associated with liver cirrhosis and portal hypertension.Methods On the basis of the animal experiment, the liver was perfused and preserved with 4℃ UW solution after harvesting quickly. The operation was performed under the extracoporeal venovenous bypass. Results The operation lasted 12 h and the duration of anhepatic phase was 100 min. During the operation there was no significant haemodynamic changes. Postoperative renal function was normal and the patient had good recovery.Conclusion It is essential to perform venovenous bypass during liver transplantation in HCC patients with cirrhosis and portal hypertension.
出处 《中华器官移植杂志》 CAS CSCD 1999年第2期76-78,共3页 Chinese Journal of Organ Transplantation
关键词 肝移植 肝细胞癌 肝硬化 体外静脉转流 Liver/transplantation Hepatocellular carcinoma Liver cirrhosis
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