中国实用外科杂志2011，Vol.31Issue(1)：80-82,3.
活体肝移植供体手术及术后管理(附22例临床分析)
Clinical analysis of donor hepatectomy and postoperative management in 22 cases of living donor liver transplantation
王东 1栗光明 1朱继业 1胡志平 1冷希圣1
作者信息
- 1. 北京大学人民医院肝胆外科北京大学器官移植中心,北京,100044
- 折叠
摘要
Abstract
Objective To improve the safety of donor surgery and enhance the postoperative management of liver donors in living donor liver transplantation (LDLT). Methods The clinical data was retrospectively analyzed in 22 cases of LDLT donnor surgery were performed from February 2003 to June 2009 in Peking University People' s Hospital, preoperative evaluation, surgical technigue, postoperative complications and outcome were retrospectively analyzed. Results Three steps of preoperative evaluation were used, Ultrasonic Dissector (CUSA) was applied in donor hepatectomy and all of the donors were followed up after operation. Totally, 2 left lateral hepatic lobes, 6 cases of left hepatic lobes, 1 extended left hepatic lobe, 5 right hepatic lobes and 8 cases of extended right hepatic lobes were harvested. No complication except 1 case of intra-abdominal bleeding, 1 case of hydrothorax and 1 case of ecchymoma was found. Hepatic function restored to normal soon and no death occured. Conclusion Strict preoperative evaluation, precise surgical technique and routine follow up are guarantees of donor safety in LDLT.关键词
活体肝移植/供体/并发症分类
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王东,栗光明,朱继业,胡志平,冷希圣..活体肝移植供体手术及术后管理(附22例临床分析)[J].中国实用外科杂志,2011,31(1):80-82,3.
