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頁籤選單縮合
題名 | Disruption of Hepatic Artery Anastomosis Secondary to Perforated Duodenal Ulcer and Rescued by Right Gastric Artery in Living Donor Liver Transplantation Recipient: Report of a Case=活體肝臟移植術後十二指腸穿孔性潰瘍引發肝動脈吻合處破損:病例報告 |
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作者 | 吳宗翰; 吳庭榕; 曹中侃; 潘廣澤; 周宏學; 游明晉; 李威震; | 書刊名 | 臺灣外科醫學會雜誌 |
卷期 | 41:3 2008.05-06[民97.05-06] |
頁次 | 頁93-98 |
分類號 | 416.246 |
關鍵詞 | 肝臟移植; 十二指腸穿孔性潰瘍; 肝動脈吻合處破損; Perforated duodenal ulcer; Right gastric artery; Living donor liver transplantation; LDLT; |
語文 | 英文(English) |
中文摘要 | 在肝臟移植術後發生肝動脈吻合處破損雖然罕見,但若一旦發生將會對肝臟本身的血液灌流產生重大的影響,甚至進而造成肝臟受贈者的嚴重併發症,甚至死亡。在此報告一名活體肝臟移植病人術後發生十二指腸穿孔性潰瘍,進而因消化液腐蝕引起肝動脈吻合處。緊急手術除修補十二指腸穿孔潰瘍處外,破損破裂之肝動脈以受贈者之右胃動脈(right gastric artery)重新做吻合連接。病人於術後恢復良好。經過一年的追蹤,至今肝臟的血液灌流及肝功能仍然良好。 |
英文摘要 | Hepatic artery anastomosis complication following liver transplantation causes significant morbidity and mortality. The authors report the case of a living donor liver transplant (LDLT) recipient who had hepatic artery anastomosis disruption secondary to a perforated duodenal ulcer. Emergent laparotomy was performed successfully: simple closure of the perforated duodenal ulcer with an omentum patch was followed by re-vascularization of the donor hepatic artery using the recipient’s right gastric artery. The patient was uneventfully discharged one month after the operation. There was no late biliary complication due to the sequel of hepatic artery anastomosis disruption. Right gastric artery can be utilized to reconstruct hepatic artery successfully although its caliber is small. |
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