同种异体原位肝移植的肝动脉重建

目的：总结同种异体原位肝移植中肝动脉吻合的经验。方法：回顾性分析11例原位肝移植中影响肝动脉吻合的因素和处理技巧。结果：7例行供、受者肝固有动脉端端吻合，2例供者肝总动脉与受者肝固有动脉吻合．2例供者肝总动脉与受者脾动脉吻合；术后彩色多普勒超声监测显示肝动脉血流通畅，均未发现有血栓形成或肝动脉狭窄，现存活8例。结论：合理选择吻合用血管是避免术后发生血栓形成和动脉狭窄的关键。

RECONSTRUCTION OF HEPATIC ARTERY IN ALLOGENEIC ORTHOTOPIC LIVER TRANSPLANTATION

Objective:To summarize the experience of hepatic artery inosculation in orthotopic liver transplantation.Methods:Facts and skills affecting hepatic artery inosculation in 11patients of orthotopic liver transplantation were retrospectively analyzed in this article.Results:The donor and recipient proper hepatic arteries were reconstructed by end-to-end anastomosis in 7 cases,and the donor common hepatic arteries and the recipient proper hepatic arteries were anastomosed in 2 cases,and the donor common hepatic arteries were anastomosed to the recipient splenic arteries in 2 cases.All of the anastomosed sites were assessed by Doppler ultrasonography postoperatively,and hepatic arterial thrombosis or stenosis has not been found.8 patients are still alive until now.Conclusion:Choosing proper vessels in vascular reconstruction is crucial in preventing hepatic arterial thrombosis and stenosis.