器官移植2018，Vol.9Issue(4)：255-260,6.DOI:10.3969/j.issn.1674-7445.2018.04.003
血管闭合系统在肝移植门静脉重建中的应用分析:附137例报道
Analysis on the application of vascular closure system in portal vein reconstruction of liver transplantation: report of 137 cases
摘要
Abstract
Objective To analyze the application effect of non-penetrating vascular closure system in portal vein reconstruction of allogenic liver transplantation in adults. Methods Clinical data of 222 patients undergoing allogeneic liver transplantation were retrospectively analyzed. According to whether vascular closure system was used in portal vein reconstruction during operation, all patients were divided into vascular clip group (n=137) and traditional suture group (n=85). Perioperative conditions, clinical prognosis and complications were statistically compared between two groups. Results All patients successfully completed the surgery. The success rate of one-time portal vein anastomosis was 93.4% (128/137) in the vascular clip group. A total of 14 patients died during perioperative period in this study with a mortality rate of 6.3% (14/222). No portal vein-related complications occurred during perioperative period in both groups. The time of portal vein anastomosis in the vascular clip group was (5.6±1.7) min, which was significantly shorter than (10.7±3.6) min in the traditional suture group (P<0.05). The incidence and grade of perioperative complications did not significantly differ between two groups (all P>0.05). Conclusions It is safe and feasible to utilize vascular closure system to reconstruct the portal vein during liver transplantation. Compared with traditional suture, it can effectively shorten the time of portal vein anastomosis.关键词
血管闭合系统/传统缝合/同种异体原位肝移植/门静脉/血管吻合/手术时间/围手术期并发症/血栓Key words
Vascular closure system/Traditional suture/Allogenic orthotopic liver transplantation/Portal vein/Vascular anastomosis/Operative time/Perioperative complications/Thrombosis分类
医药卫生引用本文复制引用
潘冰,吕少诚,李立新,赵昕,张志华,李平,郎韧,贺强..血管闭合系统在肝移植门静脉重建中的应用分析:附137例报道[J].器官移植,2018,9(4):255-260,6.基金项目
国家自然科学基金(81471590) （81471590）
