成人——成人间活体右半肝移植

目的 报道对高度紧急的成人终末期肝病患者进行活体右半肝移植的经验。病人及方法 自１９９６年５月到１９９８年８月；对１５例高度紧急的成人终末期肝末期肝病患者进行了活体右半肝移植。１３例术前在重症监护病房，２例因肝病的并发症而住院。

ADULTTOADULT LIVING DONOR LIVER TRANSPLANTATION USING RIGHT LOBE GRAFTS

Objective To report our experience in living donor liver transplantation(LDLT) using right lobe grafts for adult patients under highurgency situations Patients and Methods From May 1996 to August 1998,15 LDLTs using right lobe grafts were performed under highurgency situations.Thirteen recipients were in intensive care units and two recipients were in hospital with complications of liver disease.The median weight for the donors and recipients was 58 kg(range,4184kg)and 66 kg(range,45100kg),respectively.The body weight of nine donors was less than that of the corresponding recipients,and the lowest donortorecipient body weight ratio was .0611.The right lobe graft was chosen bacause the left lobe volume was less than 40% of the ideal liver mass of the recipients. Results The median blood loss of donors was 800ml(range,3001600ml)and hospital stay was 13 days (range,638days).Homologous blood transfusion was not required in 14 domors.Two donors had complications(one incisional hernia and one bile duct str