지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.3
- 수록면
- 25 - 29 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: During liver transplantation (LT), complications of the hepatic artery have been decreased because of microsurgery in reconstruction of hepatic artery has been widely adopted. However, in an early step of the LT program, hepatic artery reconstruction generally tends to be done with the help of a micro-surgeon from the the plastic surgery in most of Korean medical centers. In our center, we also have done reconstruction of the hepatic artery using a microscope and the skills of a plastic surgeon. We did this between Feb, 2005 and Jun, 2008 for liver transplantations. The increased the need for micro-surgeons in liver surgery as increased the cases of liver transplantation steadily. After training general surgeons of the surgical department who had no experience with microsurgery, we invested in the micro-surgery of hepatic artery reconstruction. Here we report the result of that investment.
Methods: Liver transplant patients (n=176) were enrolled between Feb, 2005 and Jul, 2009. Between Jul, 2008 and Jul, 2009, 28 cases of reconstruction of the hepatic artery were done by a general surgeon who had micro-surgery training. Before training in hepatic artery reconstruction, the general surgeon spent 3 months being introduced to micro-surgery in the micro animal laboratory. Because the training was repeated, the surgeon became skilled in doing artery anastomosis using rat’s abdominal aorta. At the same time, we trained a plastic surgeon to do hepatic artery reconstruction during liver transplantation as the first assistant. From Jul, 2008 to the present time, the general surgeon was exclusively in charge of hepatic artery reconstruction during liver transplantation. Hepatic artery reconstruction was done using a microscope. Stitching was done using 8-0 or 9-0 nylon, and an interrupted end-to-end anastomosis was done. After hepatic artery reconstruction, artery flow was confirmed by ultrasonic doppler. For group A patients, left lobe grafts were used in 33, right lobe grafts in 73, dual grafts in 6, and whole liver grafts in 36.
Results: For group B patients, left lobe grafts were used in 1 and right lobe grafts in 21, while whole liver grafts were used in 6. In Group A, hepatic artery complications occurred in 5 cases (3.3%), and in Group B such complications did not occur (0%). There was no statistical difference (p=0.312).
Conclusion: For hepatic artery reconstruction, during micro-surgery under a surgical microscope, it is thought that it is best to invest in a general surgeon who has been trained in micro-surgery. We suggest that a general surgeon is suitable for hepatic artery reconstruction after only a short time of micro surgery training.
Methods: Liver transplant patients (n=176) were enrolled between Feb, 2005 and Jul, 2009. Between Jul, 2008 and Jul, 2009, 28 cases of reconstruction of the hepatic artery were done by a general surgeon who had micro-surgery training. Before training in hepatic artery reconstruction, the general surgeon spent 3 months being introduced to micro-surgery in the micro animal laboratory. Because the training was repeated, the surgeon became skilled in doing artery anastomosis using rat’s abdominal aorta. At the same time, we trained a plastic surgeon to do hepatic artery reconstruction during liver transplantation as the first assistant. From Jul, 2008 to the present time, the general surgeon was exclusively in charge of hepatic artery reconstruction during liver transplantation. Hepatic artery reconstruction was done using a microscope. Stitching was done using 8-0 or 9-0 nylon, and an interrupted end-to-end anastomosis was done. After hepatic artery reconstruction, artery flow was confirmed by ultrasonic doppler. For group A patients, left lobe grafts were used in 33, right lobe grafts in 73, dual grafts in 6, and whole liver grafts in 36.
Results: For group B patients, left lobe grafts were used in 1 and right lobe grafts in 21, while whole liver grafts were used in 6. In Group A, hepatic artery complications occurred in 5 cases (3.3%), and in Group B such complications did not occur (0%). There was no statistical difference (p=0.312).
Conclusion: For hepatic artery reconstruction, during micro-surgery under a surgical microscope, it is thought that it is best to invest in a general surgeon who has been trained in micro-surgery. We suggest that a general surgeon is suitable for hepatic artery reconstruction after only a short time of micro surgery training.
목차
서론
방법
결과
고찰
결론
참고문헌
참고문헌 (0)
참고문헌 신청함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
생체 부분 간이식에서 수여자의 우 위대망동맥을 이용한 간동맥 문합
Annals of Hepato-Biliary-Pancreatic Surgery
2005 .06
-
혈연간 생체 부분 간이식의 미세혈관수술적 고찰
대한미세수술학회 학술대회
1996 .01
-
간동맥의 해부학적 변이
대한방사선의학회지
1987 .01
-
술후 간동맥 협착 소견을 보인 혈연간 부분 간이식 1예 보고
Annals of Surgical Treatment and Research
1997 .10
-
간동맥 정상변이(Hepatic artery normal variations)에 관한 분석
대한인터벤션영상기술학회지
2003 .11
-
의인성 간동맥 손상에 대한 간동맥 색전술 후에 발생한 간경색
Annals of Hepato-Biliary-Pancreatic Surgery
2009 .09
-
A Comparison of Hepatic Artery Reconstruction Using a Surgical Loupe and Operating Microscope During Living Donor Liver Transplantation
대한외과학회 학술대회 초록집
2019 .10
-
위암의 근치 수술시에 부 좌간동맥의 의의
Annals of Surgical Treatment and Research
1998 .05
-
간동맥의 해부학적 변이
Annals of Hepato-Biliary-Pancreatic Surgery
2004 .12
-
간이식술 후 발생한 간동맥 협착 또는 혈전증의 방사선학적 치료
대한방사선의학회지
2001 .01
-
미세수술을 이용한 발뒤꿈치 재건
대한미세수술학회 학술대회
1994 .01
-
간혈관 조영상 중간동맥의 분지영상
대한방사선의학회지
1992 .01
-
나선형 간동맥조영 CT, Lipiodol CT 및 혈관조영술에 의한 간동맥 분지와 간분절 공급형태 분석
대한방사선의학회지
1996 .01
-
Various Techniques in Middle Hepatic Vein Reconstruction in Living Donor Liver Transplantation
한국간담췌외과학회 학술대회지
2010 .03
-
Liver abscess developed after cadaveric liver transplantation due to ligation of an accessory righthepatic artery of the donor graft
Annals of Surgical Treatment and Research
2012 .10
-
우엽을 이용한 성인간 부분 간이식에서 중간정맥의 재건 아주대학교병원의 경험
Annals of Hepato-Biliary-Pancreatic Surgery
2007 .09
-
간이식
대한간호
1968 .01
-
Single Center Experience of Consecutive 522 Cases of Hepatic Artery Anastomosis in Living Donor Liver Transplantation
한국간담췌외과학회 학술대회지
2012 .04
-
Multidetector Helical CT-angiography를 이용한 간동맥의 해부학적 변이의 평가
대한방사선의학회지
2001 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2014-514-001278153