LDLT 中的动脉吻合术：技术与风险。

IF 2.2 3区医学 Q2 SURGERY

Updates in Surgery Pub Date : 2025-10-01 Epub Date: 2024-09-26 DOI:10.1007/s13304-024-01983-4

Stefano Di Sandro, Barbara Catellani, Deniz Balci, Fabrizio Di Benedetto

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引用次数: 0

摘要

在成人活体肝移植手术中重建肝动脉在技术上具有挑战性，并发症会导致严重的发病率和死亡率。早期动脉血栓可导致高达50%的死亡率，往往需要再次移植。最常见的动脉吻合技术包括使用放大镜或显微镜进行间断或连续缝合的端对端重建。虽然显微镜能提高精确度，但与放大镜相比，显微镜并不能显著降低早期血栓形成率，反而会增加手术时间。总的来说，外科医生可以通过经验和不断发展的技术使早期血栓形成率低于 1%。

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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Arterial anastomosis in LDLT: techniques and risks.

Reconstructing the hepatic artery in adult living donor liver transplantation is technically challenging, with complications leading to significant morbidity and mortality. Early arterial thrombosis can result in a mortality rate up to 50%, often necessitating re-transplantation. The most common techniques for arterial anastomosis include end-to-end reconstruction with interrupted or continuous sutures, either using magnifying loupes or a microscope. Although microscopes provide enhanced precision, they do not significantly reduce early thrombosis rates compared to loupes but increase surgical time. Overall, surgeons can achieve early thrombosis rates below 1% with experience and evolving techniques.

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来源期刊

Updates in Surgery Medicine-Surgery

CiteScore

4.50

自引率

7.70%

发文量

208

期刊介绍： Updates in Surgery (UPIS) has been founded in 2010 as the official journal of the Italian Society of Surgery. It’s an international, English-language, peer-reviewed journal dedicated to the surgical sciences. Its main goal is to offer a valuable update on the most recent developments of those surgical techniques that are rapidly evolving, forcing the community of surgeons to a rigorous debate and a continuous refinement of standards of care. In this respect position papers on the mostly debated surgical approaches and accreditation criteria have been published and are welcome for the future. Beside its focus on general surgery, the journal draws particular attention to cutting edge topics and emerging surgical fields that are publishing in monothematic issues guest edited by well-known experts. Updates in Surgery has been considering various types of papers: editorials, comprehensive reviews, original studies and technical notes related to specific surgical procedures and techniques on liver, colorectal, gastric, pancreatic, robotic and bariatric surgery.