Autor: |
A.Y. Popov, A.N. Lischenko, M.N. Davydenko, A.A. Zavrazhnov, V.A. Porhanov |
Jazyk: |
ruština |
Rok vydání: |
2012 |
Předmět: |
|
Zdroj: |
Вестник трансплантологии и искусственных органов, Vol 14, Iss 1, Pp 55-58 (2012) |
Druh dokumentu: |
article |
ISSN: |
1995-1191 |
DOI: |
10.15825/1995-1191-2012-1-55-58 |
Popis: |
Since April 2010 to December 2011 were performed 35 orthotopic transplantations of cadaveric whole liver. The indication for surgery was liver cirrhosis of different etiologies: 6 – autoimmune, 5 – primary biliary cirrhosis, 2 – toxic, 4 – unspecified, 18 – virus, two of which with the outcome in hepatocellular carcinoma. Caval anastomosis formed mainly «end-to-side». In five cases, to increase the arterial perfusion of the graft, we ligated the splenic artery. Surgical complications in the early postoperative period were seen in 4 patients (11.4%). In the late period we observed stricture of bile duct in 4 patients (11.4%). In their treatment we used various combinations of minimally invasive and open surgical procedures. 2 patients died (5.7%) – one of them on the sixth day because of intrahepatic portal vein thrombosis, another one in 6 months with a recurrence of autoimmune cirrhosis and humoral graft rejection. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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