肝移植术后并发症处理中的手术与图像引导干预

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Denise J. Lo MD , Joseph F. Magliocca MD
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引用次数: 0

摘要

肝脏移植是一种技术要求很高的外科手术,并发症众所周知,而解决血管和胆道并发症的最佳方法需要外科和介入放射学团队的共同努力。涉及肝动脉、门静脉或肝静脉的血管并发症可根据其发病机制、慢性程度和发病时间来确定。这些因素有助于确定最佳治疗方法是手术还是血管内治疗。围手术期的早期并发症更适合手术治疗,而晚期并发症则最好采用血管内治疗。胆道并发症可分为胆漏和胆道狭窄,需要协调手术、内镜和经皮治疗来解决这类并发症。通过技术的进步和并发症的处理,肝移植术后的疗效不断提高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgical Versus Image-Guided Interventions in the Management of Complications After Liver Transplantation

Liver transplantation is a technically demanding surgical procedure with known complications, and the optimal approach to addressing vascular and biliary complications requires a coordinated effort between surgical and interventional radiology teams. Vascular complications involving the hepatic artery, portal vein, or hepatic veins can be characterized by their mechanism, chronicity, and timing of presentation. These factors help determine whether the optimal therapeutic approach is surgical or endovascular. Very early presentation in the perioperative period favors surgical revision, while later presentation is best addressed endovascularly. Biliary complications can be categorized as leaks or strictures, and coordinated surgical, endoscopic, and percutaneous management is needed to address these types of complications. Through advances in technique and the management of complications, outcomes after liver transplantation continue to improve.

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来源期刊
Techniques in Vascular and Interventional Radiology
Techniques in Vascular and Interventional Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.70
自引率
0.00%
发文量
47
期刊介绍: Interventional radiology is an area of clinical diagnosis and management that is highly technique-oriented. Therefore, the format of this quarterly journal, which combines the visual impact of an atlas with the currency of a journal, lends itself perfectly to presenting the topics. Each issue is guest edited by a leader in the field and is focused on a single clinical technique or problem. The presentation is enhanced by superb illustrations and descriptive narrative outlining the steps of a particular procedure. Interventional radiologists, neuroradiologists, vascular surgeons and neurosurgeons will find this a useful addition to the clinical literature.
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