Complex Vascular Reconstruction Using Donor's Vessel Grafts in Orthotopic Liver Transplantation

被引:3
作者
Shimizu, S. [1 ]
Onoe, T. [1 ]
Ide, K. [1 ]
Oshita, A. [1 ]
Amano, H. [1 ]
Kobayashi, T. [1 ]
Tanaka, Y. [1 ]
Igarashi, Y. [1 ]
Tashiro, H. [1 ]
Ohdan, H. [1 ]
机构
[1] Hiroshima Univ, Grad Sch Biomed Sci, Programs Biomed Res, Div Frontier Med Sci,Dept Surg, Hiroshima, Japan
关键词
PORTAL-VEIN THROMBOSIS; CAVOPORTAL HEMITRANSPOSITION; RISK-FACTORS; CIRRHOSIS;
D O I
10.1016/j.transproceed.2011.12.058
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The vascular abnormalities of recipients are associated with reconstructive difficulties with an increased risk of postoperative complications. We performed an orthotopic liver transplantation that required a complex vascular reconstruction using donor vascular grafts. A patient with hepatitis B virus cirrhosis received a liver from a brain-dead donor. Dynamic computed tomography revealed complete obstruction of the portal vein due to thrombosis as well as narrowing of the hepatic arteries. We employed orthotopic liver transplantation using the piggy-back technique with complex reconstruction of the portal vein and the hepatic arteries. For portal vein reconstruction, we used the donor's iliac vein as an interpositional conduit from the recipient's gastric coronary vein to graft the portal vein. The hepatic arteries of the graft were reconstructed at the back-table before anastomosis to the side of superior mesenteric artery using an interpositional conduit of the donor's external iliac artery. All postoperative studies revealed good graft function with an excellent blood flow through all vascular anastomoses during the first year postoperatively.
引用
收藏
页码:574 / 578
页数:5
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