背驮式原位肝移植术四例报告

Piggyback orthotopic liver transplantation of 4 cases

目的为了提高终末期肝病的存活率。方法于１９９６年５月、８月、１９９７年１月和１９９８年２月先后成功地施行了４例背驮式原位肝移植术（包括１例减体积性肝移植术）。结果除例１乙型肝炎后肝硬变，受体术后２１４天突然死于乙肝复发并急性肝坏死和急性胰腺炎外，例２、例３和例４肝豆状核变性受体术后恢复顺利，效果良好，已分别健康生存５７５天、３９０天和１６２天。

Objective To increase the survival rate of end stage liver diseases. Methods The piggyback orthotopic liver transplantation was successfully performed in 4 cases from May 1996 to Feb. 1998 in our hospital.Among the 4 cases, one received operation of reduced size piggyback orthotopic liver transplantation. Results Except one case of the cirrhosis caused by the hepatitis B died from the recurrence of hepatitis B with acute hepatic necrosis and acute pancreatitis, 3 cases of Wilson disease recovered smoothly with satisfactory results post transplantation. They have healthily survived 575 days, 390 days and 162 days, respectively. Conclusion Liver/transplantation is the best effective treatment for the most end stage liver diseases at present.