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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.9
- 수록면
- 183 - 188 (6page)
- DOI
- 10.4285/kjt.20.0059
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초록· 키워드
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We have preferentially used the right gastroepiploic artery (RGEA) as an alternative for the recipient hepatic artery (HA) inflow during living donor liver transplantation (LDLT), but it was not always available. We herein present a case of adult LDLT with HA recon- struction using a greater saphenous vein (GSV) conduit because of the absence of the RGEA due to prior subtotal gastrectomy. A 55-year-old male patient diagnosed with hepatitis B virus-associated liver cirrhosis and secondary biliary cirrhosis underwent LDLT using a modified right liver graft. The upper abdominal cavity was heavily adhered due to prior abdominal surgeries, thus we had to sacrifice the common bile duct and the right HA completely. A 6-cm-long GSV segment was harvested from the left ankle and interposed between the recipient gastroduodenal artery and the graft HA. The patient recovered from LDLT and HA complications did not occur. However, 8 years after LDLT, chronic rejection occurred, thus repeated deceased donor liver transplantation was per- formed. This patient has been doing well for 2 years after retransplantation. In conclu- sion, we suggest that interposition of an autologous GSV conduit can be an alternative for establishing HA inflow in LDLT when other inflow source is not available.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Ahn CS / 2012 / Right gastroepiploic artery is the first alternative inflow source for hepatic arterial reconstruction in living donor liver transplantation / Transplant Proc 44:451~453
Park GC / 2019 / Overcoming hepatic artery thrombosis after living donor liver transplantations : an experience from Asan Medical Center / Ann Transplant 24:588~593
Uchiyama H / 2010 / Extra-anatomical hepatic artery reconstruction in living donor liver transplantation : can this procedure save hepatic grafts / Liver Transpl 16:1054~1061
Bhatti AB / 2019 / Saphenous vein conduits for hepatic arterial reconstruction in living donor liver transplantation / Langenbecks Arch Surg 404:293~300
Tranbaugh RF / 2017 / Coronary artery bypass graft surgery using the radial artery, right internal thoracic artery, or saphenous vein as the second conduit / Ann Thorac Surg 104:553~559
Park GC / 2019 / Overcoming hepatic artery thrombosis after living donor liver transplantations : an experience from Asan Medical Center / Ann Transplant 24:588~593
Uchiyama H / 2010 / Extra-anatomical hepatic artery reconstruction in living donor liver transplantation : can this procedure save hepatic grafts / Liver Transpl 16:1054~1061
Bhatti AB / 2019 / Saphenous vein conduits for hepatic arterial reconstruction in living donor liver transplantation / Langenbecks Arch Surg 404:293~300
Tranbaugh RF / 2017 / Coronary artery bypass graft surgery using the radial artery, right internal thoracic artery, or saphenous vein as the second conduit / Ann Thorac Surg 104:553~559
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