2012年3月
A thoracoabdominal approach in revision of the hepatic hilum after left lobe living donor liver transplantation
JOURNAL OF PEDIATRIC SURGERY
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- 巻
- 47
- 号
- 3
- 開始ページ
- E13
- 終了ページ
- E16
- 記述言語
- 英語
- 掲載種別
- DOI
- 10.1016/j.jpedsurg.2011.11.004
- 出版者・発行元
- W B SAUNDERS CO-ELSEVIER INC
We present an approach to safely expose the hepatic hilum for revision procedures after left lobe living donor liver transplantation. A 14-year-old adolescent girl who had undergone left lobe living donor liver transplantation experienced repeated episodes of cholangitis. Because treatment with interventional techniques failed, surgical revision was indicated. The right thoracoabdominal approach was selected to minimize dissection. Intraoperative findings showed adhesive kinking of the Roux-Y limb just distal to the bilioenteric anastomosis, and a side-to-side jejunojejunostomy was performed. The thoracoabdominal approach leads to easy and excellent reoperative exposure of the hilar site of a left lobe liver graft. (C) 2012 Elsevier Inc. All rights reserved.
- リンク情報
- ID情報
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- DOI : 10.1016/j.jpedsurg.2011.11.004
- ISSN : 0022-3468
- Web of Science ID : WOS:000301593700003