摘要
目的 总结在背驮式原位肝移植中运用刮吸解剖法的经验。方法 实施背驮式肝移植中进行受体病肝切除术 ,从皮肤切口 ,分离肝周韧带 ,解剖一、二、三肝门 ,到保留肝后下腔静脉而完全切除病肝的过程中 ,全部使用刮吸解剖法来完成手术。 1999年 8月 31日施行第一例背驮式肝移植 ,1999年 9月 9日施行第二例背驮式肝移植 ,两例均患先天性肝内胆管弥漫性囊状扩张症伴屡发胆道感染和门脉高压伴食道静脉曲张破裂出血。结果 两例均顺利完成。结论 刮吸解剖法有助于背驮式肝移植术的实施。
Objective\ To study the experiences of the application of Curettage and Aspiration Technique(CAT)in Piggy-back orthotopic liver transplantation(POLT).Methods\ During POLT,CAT was used in the whole process,from skin incision,separation of perihepatic ligments,dissection of porta hepatis Ⅰ、Ⅱ、Ⅲ,to the complete resection of diseased liver.PLOT was performed on the first case on 31st Aug.1999,9 days later on 9th Sept.1999,PLOT was carried out on the second case.Both cases had been suffering from Caroli's disease for nearly twenty years since their childhood.Results Both patients recovered very well postoperatively.Conclusion\ Curettage and Aspiration Technique as a method for operative dissection is very helpful in performing POLT.
出处
《中国实用外科杂志》
CSCD
北大核心
2000年第1期52-53,I000,共3页
Chinese Journal of Practical Surgery
关键词
肝移植
背驮式移植
刮吸解剖法
POLT\ Caroli's disease\ PMOD\ Curettage and Aspiration Technique
