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不作转流的经典式原位肝移植术(附15例报道)

陈知水 曾凡军 叶启发 明长生 沙波 文志向 林正斌 张伟杰 魏来 刘敦贵 夏穗生

中国现代手术学杂志2001,Vol.5Issue(1):27-29,3.
中国现代手术学杂志2001,Vol.5Issue(1):27-29,3.

不作转流的经典式原位肝移植术(附15例报道)

Classic Orthotopic Liver Transplantation without Venovenous Bypass ( A Report of 15 Cases)

陈知水 1曾凡军 2叶启发 3明长生 3沙波 3文志向 3林正斌 3张伟杰 3魏来 3刘敦贵 3夏穗生3

作者信息

  • 1. 华中科技大学同济医学院附属同济医院器官移植研究所,
  • 2. 华中科技大学同济医学院附属同
  • 折叠

摘要

Abstract

Objective To observe the result of classic orthotopic livertransplantation without venovenous bypass and analyze the influence of non-bypass on gastro-intestinal tract and renal function. Methods 15 cases of classic orthotopic liver transplantation without bypass have been performed for end stage liver disease since 1999. The mean portal vein blocked time was 40.5 minutes, and the vena cava blocked time was 58.7 minutes. The blood pressure was maintained within 78-96/52-64 mmHg during anhepatic peroid. Results 14 cases had a good result without any gastro-intestinal and renal complication which was related to non-bypass.One case died of DIC in 7th day after the operation. Conclusion Classic orthotopic liver transplantation can be successfully performed if the vena cava blocked time is controlled within one hour with a stable blood pressure over 80/50 mmHg,which provides the advantage of time and money saving.

关键词

肝移植/转流

Key words

liver transplantation/bypass

分类

医药卫生

引用本文复制引用

陈知水,曾凡军,叶启发,明长生,沙波,文志向,林正斌,张伟杰,魏来,刘敦贵,夏穗生..不作转流的经典式原位肝移植术(附15例报道)[J].中国现代手术学杂志,2001,5(1):27-29,3.

中国现代手术学杂志

1009-2188

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