同种原位肝移植肝脉重建技巧

目的：探讨和总结同种原位肝移植术中肝动脉重建技术。方法：回顾性分析我院近一年来所施行18例原位肝移植术中肝动脉重建方式和技巧。结果15例行供受体肝固有动脉端端吻合，2例供体肝总动脉与受体肝固有动脉吻合，1例供体总动脉与受体脾动脉吻合。术后彩色色普勒超声监测显示肝动脉血流通畅，均未发现有血栓菜成或肝动脉狭窄，全部病例未发生胆道并发症。结论：成功的肝动脉重建技术防止肝移植术后肝动脉血栓形成或肝动脉狭窄的关键。

Reconstruction of Hepatic Artery in Orthotopic Liver Transplantation

Objective To investigate the means of reconstruction of hepatic artery in orthotopic liver transplantation (OLT). Methods Eighteen patients who underwent the reconstruction of hepatic artery in OLT during more than one year recently were collected and analyzed retrospectively. Results The donor and recipient proper hepatic arteries were reconstructed by end to end anastomcosis in 15 of 18 cases, the donor common hepatic arteries and the recipient proper hepatic arteries were reconstructed in 2 of 18 cases, the donor common hepatic artery was anastomosed to the recipient splenic artery in one case. All of the anastomosed sites were assessed by Doppler ultrasonography postoperatively, and hepatic arterial thrombosis or stenosis had not been found at follow up period. Conclusion Successful surgical technique for reconstruction of the hepatic artery in OLT plays an important role in preventing hepatic arterial thrombosis and stenosis.