摘要
目的 :通过比较猪原位肝移植手术不同训练阶段的手术成功率 ,分析手术要点和技巧 ,阐明开展肝移植手术前进行动物手术训练的必要性。方法 :模拟经典原位肝脏移植手术 ,比较分析连续 40次手术中的第 1～ 10次 (A组 )和第 31～ 40次 (B组 )的成功率。结果 :A组受体猪存活 5头 (5 0 % ) ,B组受体猪存活 9头 (90 % ) ,B组手术死亡率明显降低 (P <0 .0 1) ,手术时间明显缩短 (P <0 .0 1) ,供肝的冷缺血时间明显缩短 (P <0 .0 1) ,血管吻合质量提高。结论 :肝脏移植手术有很强的专业技巧性 ,开展正式肝移植手术之前 。
Objective:To analyze operative skills and emphasize the necessity of animal operative training before performing human liver transplantation by comparing the successful rate in the different training step of porcine orthotopic liver transplantation. Methods:Classical orthotopic liver transplantations were performed on porcines for 40 times. The successful rate of the 1st to 10th (A group) was compared with the 31th to 40th times (B groups). Results:Five porcines was survived on group A (50%) and 9 porcines on group B (90%). The operative mortality rate (P<0.01), performing time (P<0.01) and cold ischemia (P<0.01) in group B is significantly lower than in group A. Also the quality of vascular anastomosis was improved. Conclusions:There are special professional skills on orthotopic liver transplantation. It is very necessary to grasp the performing elements and skills by animal operative training before human orthotopic liver transplantation.
出处
《中国现代医学杂志》
CAS
CSCD
2002年第8期13-16,共4页
China Journal of Modern Medicine
关键词
原位肝移植
猪
手术训练
Orthotopic Liver Transplantation
Porcine
Operative Training
