当前位置： SCI文献检索 > SURGERY期刊下所有文献 > Innovative techniques for and results of portal vein reconstruction in living-related liver transplantation.

Innovative techniques for and results of portal vein reconstruction in living-related liver transplantation.

Abstract：

BACKGROUND:Portal vein reconstruction is a crucial factor affecting the outcome of a successful living-related liver transplantation. We describe here our experience with portal vein reconstruction in 314 cases of living-related liver transplantation with use of novel surgical modalities to enable the transplant surgeons to deal with any size mismatch between the donor's and recipient's portal veins. METHODS:Portal vein reconstruction was classified into 2 major groups, anastomosis without and with a vein graft. When there was no stenosis of the recipient portal vein and the diameter was the same, the portal trunk was used for anastomosis. When the diameter mismatch was minimal, branch patch anastomosis was feasible. When the recipient portal vein was significantly stenotic and the portal vein of the graft was long enough, we removed the stenotic trunk and constructed an anastomosis between the graft portal vein and the confluence of the recipient portal vein. When the graft portal vein was short, a vein graft was interposed. The vein patch technique was preferable when the diameter of the graft vein was not large enough for the interposition technique. RESULTS:Anastomosis without vein graft included trunk anastomosis (n = 156), branch patch anastomosis (n = 39), and confluence anastomosis (n = 22). Anastomosis with vein graft used the interposition technique (n = 77) and vein patch technique (n = 27). The origin of the grafts was mostly from the maternal left ovarian vein (70%) or the paternal inferior mesenteric vein (27%). Complications related to portal vein reconstruction occurred in 16 (5%) patients: portal vein thrombosis in 8, stenosis in 7, and fatal rupture in 1 patient. The incidence of complications was similar for all techniques except for confluence anastomosis. CONCLUSION:Our innovative techniques should be helpful for overcoming diameter or length mismatches in portal vein reconstruction in pediatric liver transplantation.

journal_name

Surgery

journal_title

Surgery

authors

Marwan IK,Fawzy AT,Egawa H,Inomata Y,Uemoto S,Asonuma K,Kiuchi T,Hayashi M,Fujita S,Ogura Y,Tanaka K

subject

Has Abstract

pub_date

1999-03-01 00:00:00

pages

265-70

issue

3

eissn

0039-6060

issn

1532-7361

pii

S0039-6060(99)70236-9

journal_volume

125

pub_type

杂志文章

相关文献

SURGERY文献大全
  • The conundrum of the young colon cancer patient.

    abstract：BACKGROUND:Colonoscopy has had a major impact on the incidence and survival of colon cancer for patients who are screened, usually beginning at the age of 50. Meanwhile, the incidence rate of colon cancer is actually increasing in the patients younger than 50 while no routine screening is implemented for this age group...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2015.07.018

    authors： Amri R,Bordeianou LG,Berger DL

    更新日期：2015-12-01 00:00:00

  • Isolated metachronous renal artery emboli.

    abstract：:We have reported on a patient with isolated metachronous renal artery emboli. The second embolus was treated successfully surgically 12 hours after the onset of symptoms. A review of the literature shows that emboli to the renal arteries occur more frequently than realized and that late embolectomy often is successful...

    journal_title：Surgery

    pub_type： 杂志文章,评审

    doi：

    authors： Patel HD,Harris J

    更新日期：1976-01-01 00:00:00

  • Prolonged hepatic warm ischemia in non-heart-beating donors: protective effects of FK506 and a platelet activating factor antagonist in porcine liver transplantation.

    abstract：BACKGROUND:Prolonged warm ischemic injury in non-heart-beating donors (NHBDs) significantly affects hepatic allograft function after liver transplantation (LTx). METHODS:The effects of FK506 and the platelet activating factor antagonist E5880 on postoperative function of hepatic allografts procured from NHBDs were eva...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Takada Y,Taniguchi H,Fukunaga K,Yuzawa K,Otsuka M,Todoroki T,Iijima T,Fukao K

    更新日期：1998-06-01 00:00:00

  • Actual incidence and long-term consequences of posthepatectomy liver failure after hepatectomy for colorectal liver metastases.

    abstract：INTRODUCTION:Posthepatectomy liver failure (PHLF) is a severe complication after hepatectomy for colorectal liver metastases. This study evaluated its actual incidence and its effects on short- and long-term overall survival (OS) in a specialized center. MATERIALS AND METHODS:Between 2006 and 2008, 193 patients who un...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2013.05.039

    authors： Vibert E,Pittau G,Gelli M,Cunha AS,Jamot L,Faivre J,Castro Benitez C,Castaing D,Adam R

    更新日期：2014-01-01 00:00:00

  • Reduction of polymorphonuclear leukocyte accumulations by inhibition of cyclooxygenase and thromboxane syntase in the rabbit.

    abstract：:Thromboxane (Tx) inhibition prevents pulmonary leukostasis after acid aspiration. This observation prompted study of polymorphonuclear leukocyte (PMN) accumulations and products of cyclooxygenase. Experiments were conducted with a skin abrasion preparation. Five groups of six rabbits were pretreated intravenously with...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Palder SB,Huval W,Lelcuk S,Alexander F,Shepro D,Mannick JA,Hechtman HB

    更新日期：1986-01-01 00:00:00

  • Noninvasive flow techniques in the diagnosis of cerebrovascular disease.

    abstract：:The accuracy of oculoplethysmography (OPG) and carotid phonoangiography (CPA) singly and in combination, the Doppler velocity detector, and photoplethysmography (PPG) was checked by measurement of the degree of stenosis as shown on arteriograms in 308 internal carotid arteries. In a second study using arteriographic m...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： House SL,Mahalingam K,Hyland LJ,Ferris EB,Comerota AJ,Cranley JJ

    更新日期：1980-06-01 00:00:00

  • Gastroprotective actions of bombesin, L-DOPA, and mild irritants: roles of prostaglandins and sensory neurons.

    abstract：BACKGROUND:Bombesin and dopamine prevent gastric injury by an unknown mechanism. Sensory neurons and endogenous prostaglandins play an important role in gastric mucosal defense. This study was designed to assess the role of these two local defense mechanisms in bombesin and dopamine-induced gastroprotection, as well as...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Mercer DW,Cross JM,Castaneda AA,Gunter JA

    更新日期：1998-11-01 00:00:00

  • Bilateral lobectomy excluding the caudate lobe for giant mesenchymal hamartoma of the liver.

    abstract：:A girl underwent partial resection of the liver for mesenchymal hamartoma twice, at 7 months and again at 3 years of age. When the patient was 16 years of age, the mass increased rapidly in size. The patient was hospitalized and studied by ultrasonography, computed tomographic scans, and arterial angiography. The tumo...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Shuto T,Kinoshita H,Yamada C,Hirohashi K,Shiokawa C,Kubo S,Fujio N,Kobayashi Y

    更新日期：1993-02-01 00:00:00

  • Tissue levels of prostaglandin E following heterotopic rat heart allografting.

    abstract：:Heterotopic rat heart allografts were performed in 35 rats. At intervals after transplantation, rats were killed and tissue concentrations of immunoassayable prostaglandin E (PGE) were measured in the native heart, transplanted heart, spleen, and thymus. A significant increase in allograft PGE activity was observed at...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Jaffe BM,Moore TC,Vigran TS

    更新日期：1975-10-01 00:00:00

  • Research into the results of resection of hilar bile duct cancer.

    abstract：:We found mentions of 581 resections of hilar bile duct cancer in the literature to January 1989. Resection in 499 patients, reported or updated since 1980, resulted in an operative mortality of 12% and a 5-year survival rate of 13%. Resections confined to the hepatic duct confluence or extended to the quadrate lobe le...

    journal_title：Surgery

    pub_type： 杂志文章,评审

    doi：

    authors： Boerma EJ

    更新日期：1990-09-01 00:00:00

  • Vascular graft infection: an analysis of sixty-two graft infections in 2411 consecutively implanted synthetic vascular grafts.

    abstract：:Among 2411 consecutive arterial reconstructions performed with synthetic prosthetic material in Denmark during a 4-year period, 62 patients (2.6%) developed graft infection. Graft infection occurred only when the groin had been incised. The incidence of infection and the spread of infection along the graft did not rel...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Lorentzen JE,Nielsen OM,Arendrup H,Kimose HH,Bille S,Andersen J,Jensen CH,Jacobsen F,Røder OC

    更新日期：1985-07-01 00:00:00

  • Sphincter of Oddi botulinum toxin injection to prevent pancreatic fistula after distal pancreatectomy.

    abstract：BACKGROUND:Postoperative pancreatic fistula represents the most important complication after distal pancreatectomy. The aim of this study was to evaluate the use of a preoperative endoscopic injection of botulinum toxin into the sphincter of Oddi to prevent postoperative pancreatic fistula (German Clinical Trials Regis...

    journal_title：Surgery

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.surg.2016.09.005

    authors： Hackert T,Klaiber U,Hinz U,Kehayova T,Probst P,Knebel P,Diener MK,Schneider L,Strobel O,Michalski CW,Ulrich A,Sauer P,Büchler MW

    更新日期：2017-05-01 00:00:00

  • Renal transplantation in patients with urinary tract abnormalities.

    abstract：:Patients with chronic renal failure and total diversion of the lower urinary tract have been considered poor transplant candidates, and post-transplant urinary diversion, i.e., Bricker loop, has been thought to be necessary. Our experience with nine patients clearly indicates that these patients are actually excellent...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Cerilli J,Anderson GW,Evans WE,Smith JP

    更新日期：1976-03-01 00:00:00

  • The intestinal environment of surgical injury transforms Pseudomonas aeruginosa into a discrete hypervirulent morphotype capable of causing lethal peritonitis.

    abstract：BACKGROUND:Secondary peritonitis continues to carry a high mortality rate despite the aggressive use of imaging, drainage, and antibiotics. Although host factors and microbial burden contribute to the outcome of peritonitis, we propose a role for bacterial virulence as a determinant of outcome from peritonitis. Bacteri...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2012.06.022

    authors： Babrowski T,Romanowski K,Fink D,Kim M,Gopalakrishnan V,Zaborina O,Alverdy JC

    更新日期：2013-01-01 00:00:00

  • Faculty evaluation of simulation-based modules for assessment of intraoperative decision making.

    abstract：BACKGROUND:Previous studies using simulation-based curricula have focused largely on technical skills. We developed a set of simulation-based modules that focus on intraoperative decision making. The objective of this study was to conduct a faculty evaluation of: (1) the usefulness of 4 newly developed, simulation-base...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2010.10.010

    authors： Pugh CM,DaRosa DA,Santacaterina S,Clark RE

    更新日期：2011-04-01 00:00:00

  • Surgical management of intraductal papillary mucinous neoplasm with main duct involvement: an international expert survey and case-vignette study.

    abstract：BACKGROUND:The risk of invasive cancer in resected intraductal papillary mucinous neoplasm with main pancreatic duct involvement is 33%-60%. Most guidelines, therefore, advise resection of main duct intraductal papillary mucinous neoplasm and mixed type intraductal papillary mucinous neoplasm in surgically fit patients...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2018.01.025

    authors： Scholten L,van Huijgevoort NCM,Bruno MJ,Fernandez-Del Castillo C,Satoi S,Sauvanet A,Wolfgang C,Fockens P,Chari ST,Del Chiaro M,van Hooft JE,Besselink MG,European Study Group on Cystic Tumours of the Pancreas and the International

    更新日期：2018-05-16 00:00:00

  • Continuous local anesthetic infusion for pain management after outpatient inguinal herniorrhaphy.

    abstract：BACKGROUND:The purpose of the present study is to compare postoperative pain and functional outcomes in patients undergoing inguinal herniorrhaphy who receive a continuous wound infusion of bupivacaine to those who receive an infusion of saline. METHODS:A prospective, randomized, blinded, placebo-controlled trial was ...

    journal_title：Surgery

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/j.surg.2004.06.016

    authors： Schurr MJ,Gordon DB,Pellino TA,Scanlon TA

    更新日期：2004-10-01 00:00:00

  • Appendectomy and subsequent risk of inflammatory bowel diseases.

    abstract：BACKGROUND:Case-control studies have reported an inverse relationship between appendectomy and the risk of ulcerative colitis, but the association has not been confirmed in prospective studies. METHODS:Using national hospital discharge registry data in Denmark, the authors followed up 154,434 patients who underwent ap...

    journal_title：Surgery

    pub_type： 杂志文章,meta分析

    doi：10.1067/msy.2001.115362

    authors： Frisch M,Johansen C,Mellemkjaer L,Engels EA,Gridley G,Biggar RJ,Olsen JH

    更新日期：2001-07-01 00:00:00

  • Assessing senior residents' knowledge and performance: an integrated evaluation program.

    abstract：BACKGROUND:Surgical residents have traditionally been evaluated by ward evaluations and multiple-choice testing; overall resident performance has seldom been objectively evaluated. We developed a comprehensive evaluation program for senior residents. The purpose of this study was to determine whether the several differ...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Schwartz RW,Donnelly MB,Sloan DA,Johnson SB,Strodel WE

    更新日期：1994-10-01 00:00:00

  • Mentoring experience of new surgeons during their transition to independent practice: A nationwide survey.

    abstract：BACKGROUND:New surgeons are faced with inadequate mentoring when first entering practice. Our study examined challenges faced by young surgeons during their transition in practice and their mentoring experience when entering practice. METHODS:An article-based survey was mailed in August 2019 to general, colorectal, va...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2020.11.044

    authors： Stolarski A,He K,Sell N,Chugh P,O'Neal P,Smink DS,Whang E,Kristo G

    更新日期：2020-12-28 00:00:00

  • Hospital markup and operation outcomes in the United States.

    abstract：BACKGROUND:Although the price hospitals charge for operations has broad financial implications, hospital pricing is not subject to regulation. We sought to characterize national variation in hospital price markup for major cardiothoracic and gastrointestinal operations and to evaluate perioperative outcomes of hospital...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2016.03.014

    authors： Gani F,Ejaz A,Makary MA,Pawlik TM

    更新日期：2016-07-01 00:00:00

  • Gene-expression phenotypes for vascular invasiveness of hepatocellular carcinomas.

    abstract：BACKGROUND:Gross vascular invasion is a well-established prognostic indicator in hepatocellular carcinoma (HCC), but the biological significance of microscopic invasion remains unclear. METHODS:Curatively resected primary HCCs were classified retrospectively into 3 groups: HCCs without vascular invasion (V0), HCCs wit...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2009.09.037

    authors： Tanaka S,Mogushi K,Yasen M,Noguchi N,Kudo A,Nakamura N,Ito K,Miki Y,Inazawa J,Tanaka H,Arii S

    更新日期：2010-03-01 00:00:00

  • Topical flurbiprofen decreases burn wound-induced hypermetabolism and systemic lipid peroxidation.

    abstract：:We studied the effect of the topical application of the nonsteroidal anti-inflammatory agent, flurbiprofen, on postburn hypermetabolism and systemic lipid peroxidation. Twelve sheep with a 15% total body surface third-degree burn were monitored over a 4-day postburn period. In six sheep, a single application of a 5% f...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： LaLonde C,Knox J,Daryani R,Zhu DG,Demling RH,Neumann M

    更新日期：1991-05-01 00:00:00

  • Reducing postoperative pain, narcotics, and length of hospitalization.

    abstract：:Bupivacaine wound infiltration together with efficient esophagogastric decompression and immediate elemental feeding in 43 consecutive, well-instructed patients who had undergone cholecystectomy reduced their postoperative analgesia requirements to an average of 17 (+/- 46, SD) mg of meperidine during the initial 24 h...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Moss G,Regal ME,Lichtig L

    更新日期：1986-02-01 00:00:00

  • The association of antivascular endothelial cell antibody with hyperacute rejection: a case report.

    abstract：:Early graft loss almost always occurs when recipients of a renal allograft develop antibody directed against antigens specific for donor vascular endothelial cells (VECs) and peripheral blood monocytes. In studies involving recipients of human leukocyte antigen identical, living-related grafts exhibiting preformed ant...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Brasile L,Rodman E,Shield CF 3rd,Clarke J,Cerilli J

    更新日期：1986-05-01 00:00:00

  • Public-private implementation of integrated emergency response services: Case study of GVK Emergency Management and Research Institute in Karnataka, India.

    abstract：BACKGROUND:Emergency medical services are important to the functioning of health systems, but these services tend to be neglected in low- and middle-income countries, such as India. In recent years, several models of pre-hospital emergency medical services have emerged in India. Research on these models holds important...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2017.01.026

    authors： Sriram VM,Gururaj G,Hyder AA

    更新日期：2017-12-01 00:00:00

  • Carotid endarterectomy protects elderly patients from cognitive decline: a prospective study.

    abstract：BACKGROUND:Carotid endarterectomy (CEA) reduces the risk of stroke in selected patients with symptomatic and asymptomatic carotid disease, but its beneficial influence on cognitive performance in the elderly remains debatable. This prospective study sought to determine early and long-term neurocognitive outcomes after ...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/j.surg.2011.06.031

    authors： Baracchini C,Mazzalai F,Gruppo M,Lorenzetti R,Ermani M,Ballotta E

    更新日期：2012-01-01 00:00:00

  • Somatostatin receptor regulation of gastric enterochromaffin-like cell transformation to gastric carcinoid.

    abstract：BACKGROUND:Although somatostatin is recognized as an inhibitor of neuroendocrine cell secretion, its effect on cell proliferation has not been well defined. Generation of low acid and hypergastrinemia through irreversible H2-receptor blockade (loxtidine) in the African rodent mastomys results in gastric carcinoids (ECL...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1016/s0039-6060(96)80050-x

    authors： Borin JF,Tang LH,Kidd M,Miu K,Borteçen KH,Sandor A,Modlin IM

    更新日期：1996-12-01 00:00:00

  • Virilizing hilus (Leydig) cell tumor of the ovary: the challenge of an accurate preoperative diagnosis.

    abstract：:A 73-year-old woman developed temporal balding and "hoarseness" over a 3-year interval. Investigation including extensive endocrinologic screening, abdominal computed tomography scanning, pelvic ultrasonography, iodocholesterol (NP-59) adrenal scanning, and selective retrograde venous sampling revealed only an elevate...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：

    authors： Raaf JH,Bajorunas DR,Smith DH,Woodruff J

    更新日期：1983-12-01 00:00:00

  • Surgery as primary treatment in patients with liver metastases from carcinoid tumors: a retrospective, unicentric study over 13 years.

    abstract：BACKGROUND:The heterogeneous nature of carcinoid tumors makes it difficult to develop a standardized treatment strategy for the primary tumor itself and for probable liver metastases. However, prolongation of the 5-year survival rate (5-ysr) and amelioration of the incapacitating symptoms after resection of the primary...

    journal_title：Surgery

    pub_type： 杂志文章

    doi：10.1067/msy.2001.110426

    authors： Nave H,Mössinger E,Feist H,Lang H,Raab H

    更新日期：2001-02-01 00:00:00