Application of endovascular stapler in living-donor liver transplantation

被引:5
作者
Eguchi, Susumu [1 ]
Kawashita, Yujo [1 ]
Takatsuki, Mitsuhisa [1 ]
Kanematsu, Takashi [1 ]
机构
[1] Nagasaki Univ, Grad Sch Biomed Sci, Dept Transplantat & Digest Surg, Nagasaki 8528501, Japan
关键词
hepatic vein; living-donor liver transplantation; portocaval shunt; vascular stapler;
D O I
10.1016/j.amjsurg.2006.04.019
中图分类号
R61 [外科手术学];
学科分类号
摘要
We used an endovascular stapler in recipients of living-donor liver transplantation (LDLT). Hepatic veins were transected in 10 recent LDLTs (6 right-lobe and 4 left-lobe grafts), and the portocaval shunt was transected in 5 of these 10 LDLTs. Median operative time with the vascular stapler was 861 minutes (range 675 to 932), whereas the median time to liver explantation was 292 minutes (range 200 to 461) (both with P <= .05 vs vascular stapler use). To our knowledge, this is the first report on the use of an endovascular stapler device in LDLT. (c) 2007 Excerpta Medica lnc. All rights reserved.
引用
收藏
页码:258 / 259
页数:2
相关论文
共 5 条
[1]   Hepatic resection using stapling devices [J].
Kaneko, H ;
Otsuka, Y ;
Takagi, S ;
Tsuchiya, M ;
Tamura, A ;
Shiba, T .
AMERICAN JOURNAL OF SURGERY, 2004, 187 (02) :280-+
[2]   USE OF VASCULAR STAPLERS IN MAJOR HEPATIC RESECTIONS [J].
MCENTEE, GP ;
NAGORNEY, DM .
BRITISH JOURNAL OF SURGERY, 1991, 78 (01) :40-41
[3]   A prospective evaluation of ultrasound-directed transparenchymal vascular control with linear cutting staplers in major hepatic resections [J].
Smith, DL ;
Arens, JF ;
Barnett, CC ;
Izzo, F ;
Curley, SA .
AMERICAN JOURNAL OF SURGERY, 2005, 190 (01) :23-29
[4]   HEPATIC RESECTION USING STAPLING DEVICES TO CONTROL THE HEPATIC VEINS [J].
VOYLES, CR ;
VOGEL, SB .
AMERICAN JOURNAL OF SURGERY, 1989, 158 (05) :459-460
[5]  
Yanaga K, 1996, ARCH SURG-CHICAGO, V131, P104