原位肝移植供肝动脉变异的修整与重建

目的 探讨原位肝移植供肝动脉变异的修整与重建的方法与技巧. 方法 回顾性分析91例原位肝移植供肝修整以及变异肝动脉重建时处理的方法和技巧.结果 修整的91例供肝全部用于肝移植.发现其中20例(21.9%)存在肝动脉解剖变异,20例中12例需行变异肝动脉重建,动脉重建方法包括将变异的肝右动脉与脾动脉(7/12)或胃十二指肠动脉(5/12)吻合.供肝应用后未出现与修整相关的手术并发症. 结论 供肝的正确修整及合适的供肝动脉重建可减少肝移植后并发症.

Preparation and reconstruction of hepatic artery anatomic variations of donor liver in orthotopic liver transplantation

Abstract:Objective:To investigate the methods of hepatic artery(HA) preparation and reconstruction in donors with HA anatomic variations in orthotopic liver transplantation.Methods :A retrospective analysis was applied to find the methods and skills of donor liver and hepatic artery(HA) reconstruction in the 91 cases of orthotopic liver transplantation. Results:All allografts prepared were used for liver transplantation. Twenty of 91（21.9％）allografts had hepatic artery anatomical variations, and reconstructive anastomosis was performed in 12 cases. Splenic artery（7/12）and gastro-duodenal artery（5/12）were used for anastomosis to the variant right hepatic artery. No complications resulted from donor liver preparation postoperatively.Conclusions:Correct donor liver preparation and hepatic artery(HA) reconstruction in donors can decrease the incidence of hepatic artery and biliary complications.