改良的肝脏移植流出道重建术

Modification of hepatic outflow tract reconstruction in liver transplantation

目的 总结我院肝移植时应用改良的肝脏流出道重建方式的经验。方法 回顾性分析我院14 2例肝移植时肝脏流出道重建方式的改良及其效果。结果 本组肝移植病例14 2例中手术死亡16例,手术死亡率为11 2 7%。无肝脏流出道梗阻。2例存活超过4年,5例存活超过3年,34例存活超过2年,38例存活超过1年。结论 改良的肝脏流出道重建方式有利于减少技术性并发症。

Objective To summarize our experience in performing modified hepatic outflow tract reconstruction in liver transplantation. Methods The clinical data of 142 cases of liver transplantation from Jan 1999 to Aug 2003 were analyzed retrospectively. Results Sixteen patients died postoperatively, mortality rate of this group was 11.27%. No hepatic outflow obstruction developed in this group. Two postoperative recipients have survived for more than four years, five recipients have survived for more than three years, thirty four for more than two years, thirty eight for more than one year. Conclusion This procedure has the advantage of less technique-related complications and time-saving.