ORTHOTOPIC LIVER TRANSPLANTATION(REPORT OF 4 CASES)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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Department of General Surgery, The First Affiliated Hospital, West China University of Medical Sciences, Chengdu 610041;

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Keywords：

Liver transplantation Reduced size transplantation Liver cancer Liver cirrohosis

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Objective To Investigate the indications, surgical technique and perioperative management of orthotopic liver transplantation.
Methods Orthotopic liver transplantation was successfully performed on a unresectable liver cancer on caudate lobe, 2 cases with Caroli’s disease and 7 cases with advanced liver cirrohosis. A 11 year’s old girl with Caroli’s disease was performed on one reduced size liver transplantation (RSLT).
Results The recovery of liver graft function was good after the operation in those patients without perioperative death. The case of liver cancer died of recurrent cancer on the 139th postoperative day, 1 case died of severe fungus infection and one died of gastric stress ulcer perforation, other 7 cases recovered well without complications.
Conclusion The results suggest that unresectable central liver cancer, terminal liver cirrohosis or benign liver diseases combined with severe liver disfunction are good indications for liver transplantation. Good surgical technique and perioperative management are key points to succucess of the liver transplantation.

Citation： YAN Lnan,JIN Liren,LI Bo,et al.. ORTHOTOPIC LIVER TRANSPLANTATION(REPORT OF 4 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(4): 231-234. doi: Copy

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1. 夏穗生. 腹内脏器移植的现状与未来〔Ｊ〕. 中国实用外科杂志， 1999； 2(1)∶57.
2. 黄洁夫. 肝脏移植的理论与实践〔M〕. 第1版. 广州：广东科技出版社， 1998∶108～121.
3. Colellac G, Rondinah GF, De Larlis I, et al. Liver transpltation for hepatocellular carcinoma: prognostic factors associated longterm survival 〔Ｊ〕. Transp Int, 1996; 9(2)∶109.
4. 叶启发，夏穗生，刘敦贵. 肝癌原位肝移植探讨〔Ｊ〕. 中华肝胆外科杂志〔Ｊ〕， 1999； 5(3)∶149.
5. 严律南，金立人，李波等. 同种原位肝移植治疗不能切除的肝尾叶肝癌〔Ｊ〕. 肝胆外科杂志， 1999； 7(4)∶276.
6. Robert P, Jorge R, Jules D, et al. Molticanter study of lamivudine therapy for hepatitis B after liver transplantation 〔Ｊ〕. Hepatology, 1999; 29(5)∶1581.
7. 严律南，卢实春，陈晓理等. 体外静脉转流下的肝叶及肾上腺肿瘤切除术. 中国现代普通外科进展〔Ｊ〕， 1999； 2(1)∶57.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

ORTHOTOPIC LIVER TRANSPLANTATION(REPORT OF 4 CASES)

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