全内脏反位肝移植的研究进展

王安琪; 汤睿; 卢倩

doi:10.3969/j.issn.1674-7445.2023179

全内脏反位肝移植的研究进展

doi: 10.3969/j.issn.1674-7445.2023179

王安琪^1,,
汤睿²,
卢倩^2, ,

1.
810001　西宁，青海大学研究生院青海大学附属医院肝胆胰外科
2.
清华大学临床医学院清华大学附属北京清华长庚医院肝胆胰中心

基金项目: 国家自然科学基金（92168207）；中国医学科学院医学与健康科技创新工程创新单元（2019-I2M-5-056）

详细信息

作者简介:

通讯作者:
卢倩（ORCID 0000-000203597-9656），博士，主任医师，研究方向为肝移植，Email：luqianbtch@163.com

中图分类号: R617
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- 被引次数: 0
出版历程
- 收稿日期: 2023-09-25
- 录用日期: 2023-12-13
- 网络出版日期: 2024-01-15
- 刊出日期: 2024-03-15

Research progress in liver transplantation in patients with situs inversus totalis

Wang Anqi^1
,,
Tang Rui²,
Lu Qian^{2
, ,}

1.
Graduate School of Qinghai University, Department of Hepatopancreatobiliary Surgery, the Affiliated Hospital of Qinghai University, Xining 810001, China

More Information

Corresponding author: Lu Qian, Email: luqianbtch@163.com

摘要

摘要: 全内脏反位（SIT）是一种非常罕见的先天性疾病，在人群中发病率极低，不患病的SIT人群与普通人没有差别。但是当此类人群患病时，由于缺少对此类人群的认识，导致在对SIT人群进行诊断及治疗非常困难，尤其是SIT人群合并终末期肝病需要进行肝移植手术时，无论是SIT人群作为肝移植的供者或受者，对于外科医师而言都是巨大的挑战。本文通过查阅国内外近些年发表的SIT肝移植相关个案报道，对SIT肝移植在国内外的发展历程，SIT肝移植的关键步骤、预后及术后并发症等进行综述。
- 全内脏反位 /
- 肝脏解剖 /
- 先天性疾病 /
- 肝移植 /
- 供肝摆放 /
- 脉管吻合 /
- 术后并发症 /
- Roux-en-Y胆肠吻合
Abstract: Situs inversus totalis (SIT) is a rare congenital condition, with an extremely low incidence. There is no difference between SIT individuals without onset of diseases and healthy counterparts. However, when SIT individuals suffer from diseases, the diagnosis and treatment are highly challenging due to insufficient understanding of SIT populations, especially for those complicated with end-stage liver disease and requiring liver transplantation. It is a huge challenge for surgeons whether SIT individuals serve as donors or recipients of liver transplantation. In this article, recent case reports related to liver transplantation in SIT patients were summarized, and the development, key procedures, clinical prognosis and postoperative complications of liver transplantation in SIT patients were reviewed.
- Situs inversus totalis /
- Liver anatomy /
- Congenital disease /
- Liver transplantation /
- Donor liver placement /
- Vascular anastomosis /
- Postoperative complication /
- Roux-en-Y hepaticojejunostomy

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FIG. 2999. FIG. 2999.

FIG. 2999.. FIG. 2999.

下载: 全尺寸图片幻灯片

下载: 全尺寸图片幻灯片

图 1 供肝水平顺时针旋转示意图

注：A图为供肝水平顺时针旋转45°；B图为供肝水平顺时针旋转90°。

Figure 1. Schematic diagram of horizontal clockwise rotation of the donor liver

下载: 全尺寸图片幻灯片

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