METHOD preoperative planning KIND cadaveric orthotopic liver Transplantation

摘要

method u043fu0440u0435u0434u043eu043fu0435u0440u0430u0446u0438u043eu043du043du043eu0433u043e u043fu043bu0430u043du0438u0440u043eu0432u0430u043du0438u00a0 type u043eu0440u0442u043eu0442u043eu043fu0438u0447u0435u0441u043au043eu0439 u0442u0440u0443u043fu043du043eu0439 liver transplantation, including a potential recipient liver scan with the subsequent three-dimensional reconstruction images obtained in the vertical plane through the central axis of the reconstructed u0442u043eu043cu043eu0433u0440u0430u043cu043cu0430u0445 ol ava and the left hepatic vein and the angle between them.as well as the evaluation of the lower vena cava and hepatic veins, u0440u0430u0441u043fu043eu043bu043eu0436u0435u043du0438u00a0 diameters, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 the reconstructed u0442u043eu043cu043eu0433u0440u0430u043cu043cu0430u0445 further u043fu0440u043eu0432u043eu0434u00a0u0442 u0433u043eu0440u0438u0437u043e u043du0442u0430u043bu044cu043du044bu0435 plane through the centers of the mouth of the three hepatic veins of u0440u0430u0441u0441u0442u043eu00a0u043du0438u00a0 between them and the vertical plane through the central axis of the secondary u043fu0435u0447u0435u043du043eu0447u043d oh u043eu043fu0440u0435u0434u0435u043bu00a0u044eu0442 veins and the angle between it and the planebuilt through the central axis of the left hepatic veins and in the absence of ivc stenosis if the angle between the vertical u043fu043bu043eu0441u043au043eu0441u0442u00a0u043cu0438 constructed through the centre of the you left and right hepatic veins less than 120, the diameter of the three hepatic veins of not less than 20 mm and u0440u0430u0441u0441u0442u043eu00a0u043du0438u0435 between horizontal u043fu043bu043eu0441u043au043eu0441u0442u00a0u043cu0438 conducted through the c u0435u043du0442u0440u044b mouth of three hepatic veins of not more than 10 mm.planning u043eu0440u0442u043eu0442u043eu043fu0438u0447u0435u0441u043au0443u044e liver transplant recipient with preservation of the vena cava and the formation of u043au0430u0432u0430u043au0430u0432u0430u043bu044cu043du043eu0433u043e u0430u043du0430u0441u0442u043eu043cu043eu0437u0430 type piggy - back with u0442u0440u0435u043cu00a0 u043fu0435u0447u0435u043du043e u0447u043du044bu043cu0438 vein, if the angle between the vertical u043fu043bu043eu0441u043au043eu0441u0442u00a0u043cu0438 constructed through the central axis of the right and left hepatic veins of 120 or more,the diameter of the middle and left hepatic veins not less than 20 mm and u0440u0430u0441u0441u0442u043eu00a0u043du0438u0435 between horizontal u043fu043bu043eu0441u043au043eu0441u0442u00a0u043cu0438 conducted through the centers of the mouth of the middle and the left p u0435u0447u0435u043du043eu0447u043du044bu0445 wen not more than 10 mm to the vena cava preservation of the recipient and the formation of u043au0430u0432u0430u043au0430u0432u0430u043bu044cu043du043eu0433u043e u0430u043du0430u0441u0442u043eu043cu043eu0437u0430 type piggy - back to the middle and the left u043fu0435u0447u0435u043du043eu0447u043d a vein, if the angle between the vertical u043fu043bu043eu0441u043au043eu0441u0442u00a0u043cu0438,constructed in the central axis of the right and left hepatic vein 120 or more, the diameter of the middle and left hepatic veins of less than 20 mm and u0440u0430u0441u0441u0442u043eu00a0u043du0438u0435 between coast u0442u0430u043bu044cu043du044bu043cu0438 u043fu043bu043eu0441u043au043eu0441u0442u00a0u043cu0438,by through the centres of blowing up the middle and left hepatic veins of not more than 10 mm are planning to retain the lower vena cava and recipient and the formation of u043au0430u0432u0430u043au0430u0432u0430u043bu044cu043du043eu0433u043e u043du0430u0441u0442u043eu043cu043eu0437u0430 type piggy - back to the middle and the left side front wall lower u043fu0435u0447u0435u043du043eu0447u043du044bu043cu0438 vein and vena cava, if u0445u043eu0442u00a0 would be one of the u0440u0430u0441u0441u0442u043eu00a0u043du0438u0439 between horizontal u043fu043bu043eu0441u043au043eu0441u0442u00a0u043cu0438 conducted through the centers of the mouth of the three hepatic veinsmore than 10 mm, or is u043eu0431u043bu0438u0442u0435u0440u0430u0446u0438u00a0 hepatic veins or the diameter of them less than 20 mm to the recipient and the formation of the lower vena cava kavak, samsun u0430u0432u0430u043bu044cu043du043eu0433u043e u0430u043du0430u0441u0442u043eu043cu043eu0437u0430 type u043au0430u0432u0430u043au0430u0432u0430u0441u0442u043eu043cu0438u0438 if the angle between the vertical u043fu043bu043eu0441u043au043eu0441u0442u00a0u043cu0438 constructed through the central axis of the middle and left hepatic veins 120 and bo leah - plan to retain the lower vena cava and the u043au0430u0432u0430u043au0430u0432u0430u0441u0442u043eu043cu0438u0438,in the case of stenosis or thrombosis u0440u0435u0442u0440u043eu043fu0435u0447u0435u043du043eu0447u043du043eu0433u043e segment of the vena cava, or expressed u0433u0438u043fu0435u0440u0442u0440u043eu0444u0438u0438 first segment the liver, or u0438u043du0442u0440u0430u043fu0435u0447u0435u043du043eu0447u043du043eu0433u043e is located u0438u00a0 lower vena cava - planning u043eu0440u0442u043eu0442u043eu043fu0438u0447u0435u0441u043au0443u044e liver transplant with u0440u0435u0437u0435u043au0446u0438u0435u0439 lower vena cava.