查詢結果分析
來源資料
頁籤選單縮合
題名 | Biliary Complications in Living Related Liver Transplantation=活體親屬肝臟移植之膽道併發症 |
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作者 | 鄭汝汾; 陳耀森; 黃棟樑; 陳泰益; 李子瑜; 王植熙; 王世和; 江原正; 張克儉; 姚文聲; 陳肇隆; Cheng, Yu-fan; Chen, Yaw-sen; Huang, Tung-liang; Chen, Tai-yi; Lee, Tze-yu; Wang, Chih-chi; Wang, Shih-hor; Chiang, Yuan-cheng; Cheung, Hak-kim; Jawan, Bruno; Chen, Chao-long; Villa,Vanessa de; |
期刊 | 長庚醫學 |
出版日期 | 20010300 |
卷期 | 24:3 2001.03[民90.03] |
頁次 | 頁174-180 |
分類號 | 416.246 |
語文 | eng |
關鍵詞 | 活體親屬肝臟移植; 膽道併發症; Living related liver transplantation; Biliary complication; |
英文摘要 | Background: Biliary tract reconstruction has long been considered the Achilles' heel of liver transplantation as biliary complications can increase morbidity and mortality especially in partial liver graft transplantation. Methods: Thirty-four living related liver transplants were performed at Chang Gung Memorial Hospital in Kaohsiung for 33 children and 1 adolescent during a 5.5-year period. All potential donors underwent a detailed preoperative imaging study of the vascular and biliary anatomy, including three-dimensional helical computed tomographic cholangiography (n=20), magnetic resonance cholangiography (n=14), and intra-operative cholangiography (n=31) before graft retrieval. All hepatic artery anastomoses were performed in the standard microsurgery fashion and their patency was confirmed intra-operatively using Doppler ultrasound. Results: The biliary complication rate was 8.8% (3/34), including multiple intrahepatic biliary stenosis of unknown origin (n=1), bile leakage from the Roux-en-Y loop (n=1), and a missed biliary radicle (n=1) which were treated via interventional radiological and surgical procedures. The overall graft and patient survival rates were 100%. Conclusion: The biliary complication rate in this series was low compared to those of other experienced centers. Complete study of the variations of intrahepatic duct ramification pre-and-intra-operatively provided adequate information on the appropriate transection plane. Furthermore, intra-operative Doppler ultrasound verification of vessel patency helps prevent vascular complications, which has been identified as a cause of biliary complications. (Chang Gung Med J 2001;24:174-80) |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。