儿童活体肝移植:腹腔镜与开放式肝移植的结果。

Q3 Medicine
D. Crehuet Gramatyka, A. Domènech Tàrrega, C. Driller, L. Mangas Álvarez, J. Maupoey Ibáñez, I. Diéguez Hernández-Baquero, F. Negrín Rodríguez, M. Martínez Gómez, I. Vigúria Marco, J. V. Vila Carbó
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引用次数: 0

摘要

腹腔镜下儿童活体肝移植(PLDLT)的移植物切除降低了供体的发病率和手术侵袭性。评估用于移除目的的方法是否会损害植入是很重要的。本研究的目的是分析儿童PLDLT的进展情况,根据移植物是通过腹腔镜还是通过开放手术切除。材料与方法对2009年至2020年在我院开展的pldlt患者进行回顾性、分析性队列研究。结果14例患者行移植,中位年龄34.5 (R: 6-187)个月。6例(42%)供体在腹腔镜下切除移植物。1例供体(7%)在腹腔镜下切除,但需要转化。该患者被纳入开放手术组,由8例(58%)供体组成。在手术时间、ICU住院时间、住院时间、入院时并发症或入院后并发症方面均无差异。手术入路不会影响任何移植血管的吻合长度,也不会增加移植的额外困难。在摘除时间和供体住院时间方面没有发现差异。腹腔镜组中仅有1例供体因插孔后出血需要再次干预。结论无论采用何种切除入路,pldlt患者的结果相似,均不会破坏拟吻合移植物的结构,也不会增加移植的难度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pediatric living donor liver transplantation: results of laparoscopic vs. open graft removal.
INTRODUCTION Laparoscopic graft removal for pediatric living donor liver transplantation (PLDLT) reduces morbidity and surgical aggressiveness for the donor. It is important to assess whether the approach used for removal purposes compromises implantation. The objective of this study was to analyze PLDLT progression in children according to whether the graft had been removed laparoscopically or through open surgery. MATERIAL AND METHODS A retrospective, analytical cohort study of PLDLTs carried out in our institution from 2009 to 2020 was carried out. RESULTS Transplantation was performed in 14 patients, with a median age of 34.5 (R: 6-187) months. In 6 donors (42%), graft removal was conducted laparoscopically. In 1 donor (7%), removal was initiated laparoscopically, but conversion was required. This patient was included within the open surgery group, which consisted of 8 (58%) donors. No differences were found in terms of operating times, ICU stay, hospital stay, complications during admission, or complications post-admission in the recipient. The surgical approach did not compromise the length of the vessels to be anastomosed in any graft, and it added no extra difficulty to implantation. No differences were found in terms of removal times or hospital stay for the donor. Only 1 donor from the laparoscopy group required re-intervention due to bleeding following port insertion. CONCLUSION PLDLT patients had similar results regardless of the removal approach used, which did not compromise the structures of the graft to be anastomosed, or add any extra difficulty to implantation.
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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
64
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