供肝切取与保存16例体会

摘要

目的探讨肝移植时快速切取供肝技术与保存方法。方法结合我肝移植中心患者临床资料，回顾性分析16例供肝切取和保存方法。结果 16例供肝热缺血时间为3～6min，冷缺血时间为7～11h，供肝血管、胆管均完好，13例肝移植患者术后均未出现移植肝原发性无功能等严重并发症。结论能否快速切取供肝和妥善保存是肝移植能否成功的重要保证之一。%Objective　To investigate the methods of rapid excision and preservation of donor livers.Methods　On the basis of our clinical data on liver transplantation,we reviewed the means of rapid excision and preservation of 16 donor livers.Results　Warm ischemia time ranged from 3 to 6 minutes and cold ischemia time was 7 to 11 hours in these 16 donor,livers and the blood vessels,bile duct were all untouched,none of the 13 patients who received liver transplantation suffered from primary non-function and other severe complications.Conclusions　How to resect the donor liver rapidly and preserve it properly is one of the most important factors affecting the outcome of liver transplantation.