METHOD FOR ISCHEMIC COMPLICATIONS PREVENTION IN CASE OF CADAVERIC LIVER TRANSPLANTATION

摘要

FIELD: medicine.;SUBSTANCE: immediately after starting the blood flow in the transplanted liver, volumetric blood flow in the hepatic artery (HA VBF) and the portal vein (PV VBF) is determined, if HA VBF is less than 100 ml/min, paravasal tissue infiltration by papaverine, hepatic artery expansion by Fogarty probe, gastroduodenal artery ligation are performed. Then the transplant perfusion is evaluated with perfusion index (PI) calculation by the original formula. At the PI value less than 0.13, splenic artery ligation is performed.;EFFECT: method provides an indication of the whole liver perfusion, thus making it possible to prevent both HA thrombosis and ischemic complications.;3 ex, 16 tbl