在小儿第三次肝移植手术中，将胃袖状切除术作为胆道重建的解剖外路由器。

IF 1.2 4区医学 Q3 PEDIATRICS

Pediatric Transplantation Pub Date : 2024-04-24 DOI:10.1111/petr.14769

Abdul Rahman Hakeem, Harrison Gee, Magdy Attia, K. Raj Prasad

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引用次数: 0

摘要

背景罗伊-卡尔内爵士（Sir Roy Calne）在 1976 年描述道："胆道重建是肝移植的致命弱点。方法我们介绍了一例儿童第三次肝移植（LT）的病例，该病例使用胃大弯套管创新性地建立了解剖外胆道旁路。结果患者在肝移植术后近 10 年恢复良好。结论这项技术可以证明是外科医生在进行困难的再移植和短肠综合征患者手术时的重要辅助手段，因为它提供了一种长期效果良好的可行方案。

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Gastric sleeve as an extra-anatomical roux for biliary reconstruction in a pediatric third liver transplant.

BACKGROUND Sir Roy Calne in 1976 described "Biliary reconstruction is the Achilles heel of liver transplantation," and it remains true. In some patients, such as those with short-gut syndrome and concomitant biliary atresia, neither duct to duct nor Roux biliary reconstruction is feasible. METHODS We present a case of child's third liver transplant (LT), where an innovative extra-anatomical biliary bypass was created using a sleeve from greater curvature of the stomach. RESULTS The patient is well nearly 10 years following the LT. CONCLUSIONS This technique could prove to be an important addition to the armamentarium of a surgeon in difficult retransplants and in patients with short-gut syndrome as it provides a viable option with good long-term outcome.

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来源期刊

Pediatric Transplantation 医学-小儿科

CiteScore

2.90

自引率

15.40%

发文量

216

审稿时长

3-8 weeks

期刊介绍： The aim of Pediatric Transplantation is to publish original articles of the highest quality on clinical experience and basic research in transplantation of tissues and solid organs in infants, children and adolescents. The journal seeks to disseminate the latest information widely to all individuals involved in kidney, liver, heart, lung, intestine and stem cell (bone-marrow) transplantation. In addition, the journal publishes focused reviews on topics relevant to pediatric transplantation as well as timely editorial comment on controversial issues.