肝移植供肝修整的经验

Experience of bench preparation of donor liver in liver transplantation

目的探讨肝移植供肝修整的方法与技巧。方法回顾性分析64例原位肝移植供肝修整以及血管变异时处理的方法和技巧。结果修整的64例供肝全部用于肝移植。发现13例存在肝动脉解剖变异,其中5例行变异肝动脉重建,动脉重建方法包括将变异动脉与脾动脉(3/5)、胃十二指肠动脉(2/5)吻合。无因供肝修整而出现的手术并发症。结论供肝血管及胆道的正确修整可减少肝移植后并发症,是供肝修整成败的关键。

Objective To study the method of preparation of donor liver in liver transplantation. Methods The methods and skills of donor liver preparation and the anomaly artery reconstruction of graft in 64 cases of orthotopic liver transplantation （OLT） were retrospectively analyzed. Results All allografts had preparation and were suitable for clinical transplantation. Thirteen cases with hepatic artery anatomy variation were found. Among the 13 cases, 5 cases were reconstructed. Splenic artery （ 3/5 ） and gastro-duodenal artery （ 2/5 ） were typically used for anastomosis of the variant hepatic arteries. No complications resulted from donor liver preparation. Conclusions Correct preparation of the donor hepatic artery and biliary tracts, can decrease the incidence of hepatic artery and biliary tract complications after liver transplantation, and is the key to ensure successful donor liver preparation.