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作者总结了日本京都大学第二外科1990年6月至1992年9月间所进行的37例活体亲属肝移植(LRLT)的经验。其中男性患儿15例,女性22例。均为终未期肝病。计有胆道闭锁27例,胆源性肝硬变3例,Budd-Chiari综合征和进行性肝内淤胆各2例,血叶淋症、Wilson’s病及暴发性肝炎各1例。父亲供体14例,母亲供体24例。方法:切断肝左静脉和肝左动脉后分别用冷乳酸林格氏液和冷UW液经左门静脉作原位隔离灌洗。移植肝为左外叶19例,左外叶并部分左内叶11例,左叶6例,右叶1例。移植肝切取后全部供体的肝功能和生活均恢复正常。
The authors summarize the experience of 37 living-related liver transplantations (LRLTs) conducted by the Second Surgery Department, Kyoto University, Japan, from June 1990 to September 1992. Including 15 cases of male children, 22 females. Are not the end of liver disease. Including biliary atresia in 27 cases, gallbladder cirrhosis in 3 cases, Budd-Chiari syndrome and progressive intrahepatic cholestasis in 2 cases, hemolymph, Wilson’s disease and fulminant hepatitis in 1 case. 14 cases of father donor, mother donor 24 cases. Methods: After the left hepatic vein and the left hepatic artery were severed, cold lactic acid Ringer’s solution and cold UW solution were used for left ventricular isolation in situ. Transplanted liver for the left outer lobe 19 cases, left lobe and part of the left lobe in 11 cases, 6 cases of left lobe, right lobe in 1 case. All donor liver function and life returned to normal after transplantation.