[Vascular reconstruction and transplantation technologies in liver surgery (part II)].

Q4 Medicine

Khirurgiya Pub Date : 2024-01-01 DOI:10.17116/hirurgia202402124

S E Voskanyan, A I Artemiev, E V Naidenov, I Yu Kolyshev, M V Shabalin, A N Bashkov, D V Chursin, H A Subkhonov, D S Raspopov

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引用次数: 0

Abstract

Objective: To systematize tactical and technical aspects of liver resections with reconstruction of afferent and efferent blood supply and/or inferior vena cava; to study postoperative outcomes in patients with focal liver lesions using transplantation technologies.

Material and methods: We enrolled 413 patients with parasitic lesions, primary and secondary liver tumors involving great vessels (portal vein, hepatic artery, hepatic veins, inferior vena cava, right atrium). All ones underwent liver resections with vascular resection and reconstruction, as well as liver autotransplantation in vivo, ante situ (ex situ in vivo), extracorporeal liver resections with autotransplantation (ex vivo).

Results: We obtained satisfactory immediate results after liver resections using transplantation technologies.

Conclusion: Transplantation technologies in liver surgery can significantly increase resectability of tumors and survival of patients. Transplantation technologies are an important new surgical strategy and necessary option in modern hepatic surgery.

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[肝脏手术中的血管重建和移植技术（第二部分）]。

目的：对重建传入和传出血液供应和/或下腔静脉的肝脏切除术的战术和技术方面进行系统化研究；利用移植技术研究病灶性肝脏病变患者的术后效果：我们共招募了413名患有寄生性病变、原发性和继发性肝脏肿瘤并累及大血管（门静脉、肝动脉、肝静脉、下腔静脉、右心房）的患者。所有患者都接受了肝脏切除、血管切除和重建术，以及肝脏在体内、原位（体外原位）、体外肝脏切除和自体移植术（体外移植）：结果：使用移植技术进行肝脏切除术后，我们立即获得了令人满意的效果：结论：移植技术在肝脏手术中的应用可显著提高肿瘤的切除率和患者的存活率。移植技术是一种重要的外科新策略，也是现代肝脏手术的必要选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Khirurgiya Medicine-Medicine (all)

CiteScore

0.70

自引率

0.00%

发文量

161

期刊介绍： Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень