2010Zhongguo pu-wai jichu yu linchuang zazhiRequires access

Common Reasons for Failure in Orthotopic Liver Transplantation in Rats During Preliminary Experiment and Preventive

Shen Hao-yua

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Abstract

Objective To analysis the common reasons for failure in orthotopic liver transplantation during preliminary experiment and propose the preventive.Methods One hundred and twenty cases in preliminary experiment using modified Kamada two-cuff method of orthotopic liver transplantation were retrospectively analyzed.Results The causes of failure included: lengthening of anhepatic phase(66 cases),failed anastomosis of suprahepatic inferior vena cava(61 cases),failed anastomosis of infrahepatic inferior vena cava(17 cases),failed anastomosis of portal vein(12 cases),unsatisfied anesthesia(8 cases).Succeed in 21 cases(17.50%,21/120).ConclusionImprove the microsurgical operation techniques,particularly the anastomosis of suprahepatic inferior vena cava,can increase the success rate in orthotopic liver transplantation.

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Objective To analysis the common reasons for failure in orthotopic liver transplantation during preliminary experiment and propose the preventive.Methods One hundred and twenty cases in preliminary experiment using modified Kamada two-cuff method of orthotopic liver transplantation were retrospectively analyzed.Results The causes of failure included: lengthening of anhepatic phase(66 cases),failed anastomosis of suprahepatic inferior vena cava(61 cases),failed anastomosis of infrahepatic inferior vena cava(17 cases),failed anastomosis of portal vein(12 cases),unsatisfied anesthesia(8 cases).Succeed in 21 cases(17.50%,21/120).ConclusionImprove the microsurgical operation techniques,particularly the anastomosis of suprahepatic inferior vena cava,can increase the success rate in orthotopic liver transplantation.

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Available abstract

Objective To analysis the common reasons for failure in orthotopic liver transplantation during preliminary experiment and propose the preventive.Methods One hundred and twenty cases in preliminary experiment using modified Kamada two-cuff method of orthotopic liver transplantation were retrospectively analyzed.Results The causes of failure included: lengthening of anhepatic phase(66 cases),failed anastomosis of suprahepatic inferior vena cava(61 cases),failed anastomosis of infrahepatic inferior vena cava(17 cases),failed anastomosis of portal vein(12 cases),unsatisfied anesthesia(8 cases).Succeed in 21 cases(17.50%,21/120).ConclusionImprove the microsurgical operation techniques,particularly the anastomosis of suprahepatic inferior vena cava,can increase the success rate in orthotopic liver transplantation.

Key concepts: Medicine, Anastomosis, Inferior vena cava, Orthotopic liver transplantation, Cuff, Surgery, Liver transplantation, Transplantation

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