Portal vein arterialization in liver transplantation: A report of clinical applications
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摘要:
<正>据报道[1]肝移植受者术前门静脉血栓(portal vein thrombosis,PVT)的发生率为2%~19%,在肝移植术中常导致门静脉无法常规重建,以往PVT被认为是肝移植的禁忌证。门静脉动脉化(portal vein arterialization,PVA)是通过建立动脉血
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Key words:
- portal vein /
- liver transplantation
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[1]Bertelli R, Nardo B, Montalti R, et al, Liver transplantation inrecipients with portal vein thrombosis:experience of a singletransplant center[J].Transplant Proc, 2005, 37 (2) :1119-1121. [2]Tzakis AG, Kirkegaard P, Pinna AD, et al, Liver transplanta-tion with cavoportal hemitransposition in the presence of dif-fuse portal vein thrombosis[J].Transplantation, 1998, 65 (5) :619-624. [3]Charco R, Margarit C, Lopez-Talavera JC, et al.Outcomeand hepatic hemodynamics in liver transplant patients withportal vein arterialization[J].Am J Transplant, 2001, 1 (2) :146-151. [4]沈世强, 张训臣, 王卫星, 等.肝切除时门静脉血部分动脉化的研究[J].中华实验外科杂志, 2000, 17 (3) :235-236. [5]尹强, 苗雄鹰, 汤可立, 等.门静脉部分动脉化对大鼠肝部分切除后肝脏的影响[J].中国普通外科杂志, 2006, 15 (1) :23-25. [6]Schleimer K, Stippel DL, Kasper HU, et al.Portal vein arteri-alization increases hepatocellular apoptosis and inhibits liverregeneration[J].J Surg Res, 2008, 149 (2) :250-258. [7]Schleimer K, Stippel D, Kasper H, et al.Portal hyperperfu-sion causes disturbance of microcirculation and increased rateof hepatocellular apoptosis:investigations in heterotopic ratliver transplantation with portal vein arterialization[J].Trans-plantat Proc, 2006, 38 (3) :725-729. [8]陈永亮, 黄志强, 黄洁, 等.大鼠肝门部整块切除术后门静脉动脉化重建肝血流的实验模型[J].中华普通外科杂志, 2001, 16 (2) :94-96. [9]李文岗, 李滨, 高丽杰, 等.限制流量的门静脉动脉化对大鼠肝脏功能和结构的远期影响[J].中华普通外科杂志, 2006, 21 (1) :55-58.
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