肝脏移植术后的外科并发症

目的：探讨肝移植术后外科并发症的防治。方法：根据美国匹兹堡大学医疗中心Starzl移植研究所的经验，介绍与外科操作技术有关的术后常见并发症的防治方法，结果与结论：术后腹腔出血，肝动脉血栓形成，门静脉血栓形成，胆，胆道梗阻，胃肠道伐孔，胃肠道出血等是与外科技术操作有关的外科并发症，对肝脏移植术后异常情况的快速诊断和及时处理，是减少外科并发症的发生率和死亡重要措施。

Surgical complications of orthotopic liver transplantation

Objective To study the prevention and treatment of postoperative complications of liver transplantation (LT). Methods According to experience of Thomas E. Starzl Transplantation Institute and the Departments of Surgery University of Pittsburgh Medical Center, we introduce the prevention and treatment of surgical complications. Results and Conclusions Intra-abdominal hemorrhage, hepatic artery thrombosis, portal vein thrombosis, bile leaks, biliary obstruction, intestinal perforation, gastrointestinal bleeding are the postoperative complications of LT which are related to the surgical technique. Rapid improvement of diagnostic assessment of the alterations from normal postoperative course, and timely intervention are very important to minimize morbidity of surgical complications and mortality .