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Classical orthotopic liver transplantation from a donor with situs inversus totalis using slight rotation of the liver graft

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Chinese Medical Journal 2010年第10期123卷 1353-1355页

作者： DOU Jian YANG Tao CAO Jing-lin GAO Qing-jun SU Yan-ling ZHU Zhi-jun Department of Hepatobiliary Surgery the Third Hospital of Hebei Medical University Shijiazhuang Hebei 050051 China Department of Orthopedics the Third Hospital of Hebei Medical University Shijiazhuang Hebei 050051 China Department of Transplantation Tianjin First Center Hospital Tianjin 300192 China

Situs inversus totalis （SIT） is a rare congenital abnormality that affects approximately 0.005% of all live births. 1 Liver grafts with SIT have traditionally been considered as an absolute contraindication for transplant because of anatomical concerns.2 A review of the literature indicated that there were only four cases of liver transplantation using an SIT donor and normal recipient.3-6 Various modified ＂piggyback＂ techniques were used in all of these cases. In the present case, we obtained a liver from a deceased donor with SIT,

关键词： situs inversus liver transplantation tissue donors

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Immediate post-operative complications(I):Post-operative bleeding;vascular origin:Thrombosis pancreatitis

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World Journal of Transplantation 2020年第12期10卷 415-421页

作者： Jose Antonio Perez Daga Rosa Perez Rodriguez Julio Santoyo Department of Surgery Hospital Regional de MálagaMalaga 29010Spain

Simultaneous pancreas-kidney transplantation is the treatment of choice forinsulin-dependent diabetes that associates end-stage diabetic nephropathy, sinceit achieves not only a clear improvement in the quality of life, but also provides along-term survival advantage over isolated kidney transplant. However, pancreastransplantation still has the highest rate of surgical complications among organtransplants. More than 70% of early graft losses are attributed to technical failures,that is, to a non-immunological cause. The so-called technical failures includegraft thrombosis, bleeding, infection, pancreatitis, anastomotic leak and pancreaticfistula. Pancreatic graft thrombosis leads these technical complications as the mostfrequent cause of early graft loss. Currently most recipients receive postoperativeanticoagulation with the aim of reducing the rate of thrombosis. Hemoperitoneumin the early postoperative period is a frequent cause of relaparotomy, but it is notusually associated with graft loss. The incidence of hemoperitoneum is clearlyrelated to the use of anticoagulation in the postoperative period. Post-transplantpancreatitis is another cause of early postoperative complications, less frequentthan the previous. In this review, we analyze the most common surgicalcomplications that determine pancreatic graft losses.

关键词： Pancreas transplantation Vascular graft thrombosis Postoperative hemorrhage Graft pancreatitis Reperfusion injury tissue donors Risk factors

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