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活体肝移植供肝切取74例临床分析
引用本文:张雅敏,朱志军,蒋文涛,蔡金贞,侯建存,魏林,张海明,王金山,沈中阳.活体肝移植供肝切取74例临床分析[J].中华外科杂志,2009,47(17).
作者姓名:张雅敏  朱志军  蒋文涛  蔡金贞  侯建存  魏林  张海明  王金山  沈中阳
作者单位:天津市第一中心医院移植外科,300192
基金项目:China Medical Board in New York资助项目 
摘    要:LT恢复正常时间(12.7±4.8)d;总胆红素(TB)峰值(78.7±44.3)μmol/L,TB恢复正常时间(8.8±2.7)d;住院时间7~28 d(中位住院时间14 d).术后并发症:胆瘘1例,肝断面出血1例,过敏性紫癜1例,全部供者均恢复正常生活及工作.结论 术前充分了解供肝的血管及胆道解剖,术中保证管道的完整性、减少肝组织损失,术后严密监测并发症的发生是供者安全的必要保证.

关 键 词:肝移植  活体供者  肝切除术

Clinical analysis of donor hepatectomy in living donor liver transplantation: report of 74 cases
ZHANG Ya-min,ZHU Zhi-jun,JIANG Wen-tao,CAI Jin-zhen,HOU Jian-cun,WEI Lin,ZHANG Hai-ming,WANG Jin-shan,SHEN Zhong-yang.Clinical analysis of donor hepatectomy in living donor liver transplantation: report of 74 cases[J].Chinese Journal of Surgery,2009,47(17).
Authors:ZHANG Ya-min  ZHU Zhi-jun  JIANG Wen-tao  CAI Jin-zhen  HOU Jian-cun  WEI Lin  ZHANG Hai-ming  WANG Jin-shan  SHEN Zhong-yang
Abstract:nor blood vascular and biliary anatomy before operation, keeping the blood vascular and bile duct integrity during operation and monitoring complication to solve it immediately after operation is crucial to ensure donor safety and recovering successfully.
Keywords:Liver transplantation  Living donors  Hepatectomy
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