中国实用外科杂志2011，Vol.31Issue(11)：1035-1037,3.
肝移植围胆道重建环节技巧与细节对胆道并发症的影响研究
Effect of the surgical techniques and details around biliary reconstruction process on the biliary complications in orthotopic liver transplantation
霍枫 1汪邵平 1蒲淼水 1陈建雄 1李鹏 1郑于剑 1詹世林1
作者信息
- 1. 广州军区广州总医院肝胆外科肝脏移植中心,广东广州510010
- 折叠
摘要
Abstract
Objective To investigate the effect of the surgical techniques and details around biliary reconstruction process on the biliary complications in liver transplantation. Methods From August 2003 to December 2006 and January 2007 to March 2010 two time periods, group A 74 cases and group B 131 cases each, all 205 cases of liver transplantation fulfilled in Guangzhou General Hospital of PLA were implemented biliary reconstruction with same methods. Some different surgical techniques and details and the rates of the biliary duct complication were compared statistically. Results The death rates of group A and group B had no difference statistically. But the biliary complication incidence of group A and group B had was 11.0% and 5.3% respectively. The warm ischemia time of group B was shorter than that of group A significantly. There were some differences between two groups, such as the perfusion of the biliary duct, the conservation of blood supply of biliary endings for both donor and recipient, careful bile duct exploration in receptor, and minor tension between the anastomosis of the bile duct. Conclusion With short warm ischemia time, adequate perfusion of bile duct of the liver donor, conservation of blood supply of biliary endings for both donor and recipient, careful bile duct exploration in receptor and minor tension between the anastomosis of the bile duct are all important factors for improving the quality of biliary reconstruction and reducing biliary complications.关键词
肝移植/胆道重建/胆道并发症Key words
liver transplantation/ biliary reconstruction/ biliary complication分类
医药卫生引用本文复制引用
霍枫,汪邵平,蒲淼水,陈建雄,李鹏,郑于剑,詹世林..肝移植围胆道重建环节技巧与细节对胆道并发症的影响研究[J].中国实用外科杂志,2011,31(11):1035-1037,3.
