کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4155526 1273749 2014 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A new simplified technique of arterial reconstruction in pediatric living-donor liver transplantation: A comparison with the classical technique
ترجمه فارسی عنوان
روش جدید ساده سازی بازسازی شریانی در پیوند کبد زنده و اهداکننده کودکان: مقایسه با روش کلاسیک
کلمات کلیدی
پیوند کبد اهدا کننده، آناستوموز شریان کبدی، پیوند کبد کودکان، هپاتکتومی اهدا کننده عوارض پیوند کبد
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

Background/AimHepatic artery anastomosis (HAA) is the most important aspect of living donor liver transplantation (LDLT), and it is currently performed by a specialized microsurgeon using micro surgical techniques, with interrupted sutures and the aid of an operative microscope. To simplify the procedure, we studied a new, simpler technique performed by pediatric transplant surgeons with continuous sutures and the same 3.5 × magnification loupe used during other transplant procedures. The aim of this study was to compare these two hepatic artery reconstruction techniques in two pediatric LDLT series.MethodsThis study was initiated in January 2010 and finished in June 2013. In the first period, the arterial reconstruction was performed with an operating microscope and the classical technique of 9-0 separate sutures. In the second period, the arterial reconstruction was performed using a simpler technique, with surgical loupe and continuous 8-0 Prolene sutures. The incidences and outcomes of complications within the two periods were analyzed and compared.ResultsA total of 82 LDLTs were performed, 38 in the first period and 44 in the second period. There were no differences between the periods, except for the arterial ischemia time, which was lower in the second period.ConclusionHepatic artery anastomosis can be safely performed with low complication rates by a pediatric transplant surgeon using continuous sutures with a 3.5 × magnifying loupe. This technique is simpler, less time consuming and simplifies the complex pediatric LDLT procedure.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 49, Issue 10, October 2014, Pages 1518–1521
نویسندگان
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