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活体肝移植供体的选择及术后评估28例
引用本文:刘军,王学浩,张峰,李相成,李君,秦红波. 活体肝移植供体的选择及术后评估28例[J]. 中华普通外科杂志, 2004, 19(1): 10-11
作者姓名:刘军  王学浩  张峰  李相成  李君  秦红波
作者单位:1. 250012,济南,山东大学齐鲁医院普外科
2. 210029,南京医科大学附属第一医院肝脏移植中心
基金项目:江苏省重点课题基金资助项目 (BJP80 2 5 ),江苏省医学重点基金资助项目 (13 5 10 )
摘    要:目的探讨活体肝移植供体的选择标准 ,评估其术后状况。方法回顾总结 1995年1月至 2 0 0 3年 7月 2 8例活体肝移植供体术前检查、选择标准 ;术后随访其肝肾等重要脏器功能、并发症情况。结果 2 8例供体平均住院日为 10 (8~ 2 0 )d。本组 1例术后发生肝脏断面渗血 ,经保守治疗后痊愈。 1例在“T”形管拔除后发生胆漏 ,经手术引流后痊愈。其余 2 6例无并发症出现。随访时间 2个月至 8年。所有供体均恢复正常体力活动。结论保证供体的安全是开展活体肝移植的首要原则。在具备丰富肝脏手术经验的基础上 ,供体手术是安全、可行的。

关 键 词:肝移植  活体供者
修稿时间:2003-03-10

Selection and estimation of donors for living related liver transplantation:report of 28 cases
LIU Jun,WANG Xue-hao,ZHANG Feng,LI Xiang-cheng,LI Jun,QIN Hong-bo. Selection and estimation of donors for living related liver transplantation:report of 28 cases[J]. Chinese Journal of General Surgery, 2004, 19(1): 10-11
Authors:LIU Jun  WANG Xue-hao  ZHANG Feng  LI Xiang-cheng  LI Jun  QIN Hong-bo
Affiliation:LIU Jun,WANG Xue-hao,ZHANG Feng,LI Xiang-cheng,LI Jun,QIN Hong-bo. Center of Liver Transplantation,The First Affiliated Hospital,Nanjing Medical University,Nanjing 210029,China
Abstract:Objective To evaluate the selection standard of donors of living related liver transplantation (LRLT). Methods From Jan. 1995 to Jul. 2003, 28 LRLT were performed. The preoperative examination, selection standard, postoperative complication were reviewed. Results There was no mortality for donors. Raw surface bleeding and biliary fistula occurred in one each case, and the complications were cured conservativery.Conclusions The key for LRLTlies in the safety of the donor. Living related liver transplantation is safe, while performed by a surgical team with well qualified expertise.
Keywords:Liver transplantation  Living donors
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