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临床上施行人的辅助性肝移植效果不理想,作者设计了狗同种异体原位旁辅助性部分肝移植,即先切除受狗肝右侧叶及尾叶(约占全肝30％),创造一空位,再将供体的肝右侧叶、尾叶及乳头叶(约为全肝的37％)置放在该空位内。此方法不仅解决了辅助肝占位问题,而且还有以下优点:①受体腹腔内肝组织总的体积(部分供肝+残留受肝)增加甚少,对全身血液动力学以及腹腔内压影响较小;②辅助肝置放在肝
The effect of assisted liver transplantation in clinical practice is not satisfactory. The authors designed a dog allograft in situ paraneoplastic partial liver transplantation, that is, the right side of the dog’s liver and the tail of the liver (about 30% of the whole liver). Create a vacancy, and place the right hepatic lobe, the tail lobe, and the papillary lobe (about 37% of the total liver) of the donor in this vacant space. This method not only solves the problem of assisted liver occupying, but also has the following advantages: 1 The total volume of liver tissue in the abdominal cavity of the recipient (part of donor liver + residual hepatic) has little increase, affecting systemic hemodynamics and intra-abdominal pressure Smaller; 2 auxiliary liver placed on the liver