CAJ | 학술논문

肝移植是治疗终末期肝病及肝脏肿瘤的重要手段.为缓解供体的缺乏,自体肝移植(autologous liver transplantation,ALT)作为对常规手术不能切除的肝占位性病变的补充技术日益受到青睐.但是,与同种异体肝移植相比,其无肝期持续时间长,对患者的影响更大.体外静脉转流(veno-venous bypass,VVB)作为一种保持无肝期血流动力学和内环境稳定的技术,已常规应用于ALT术中.本文就ALT术中的静脉转流(VVB)技术进行探讨.
간이식시치료종말기간병급간장종류적중요수단.위완해공체적결핍,자체간이식(autologous liver transplantation,ALT)작위대상규수술불능절제적간점위성병변적보충기술일익수도청래.단시,여동충이체간이식상비,기무간기지속시간장,대환자적영향경대.체외정맥전류(veno-venous bypass,VVB)작위일충보지무간기혈류동역학화내배경은정적기술,이상규응용우ALT술중.본문취ALT술중적정맥전류(VVB)기술진행탐토.
Liver transplantation is the main treatment for end-stage liver diseases and liver tumor.To solve the problem of the insufficient donor liver,autologous liver transplantation (ALT) is becoming widely acknowledged,which could serve as a complementary technique for treating unresectable liver space-occupying lesions in routine operation.However,compared with allogeneic liver transplantation,the long anhepatic phase during ALT may influence the outcome of such patients.Veno-venous bypass (VVB) as a technology which can maintain the stability of hemodynamics and internal environment in the anhepatic phase is routinely used in ALT.In this paper,the application of VVB in the ALT was mainly discussed.