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Successful liver allograft inflow reconstruction with the right gastroepiploic vein

Hepatobiliary & Pancreatic Diseases International 2016年第1期15卷 106-110页

作者： Rafael S Pinheiro Ruy J Cruz Jr Lucas S Nacif Matheus F Vane Luiz AC D'Albuquerque Liver Transplant Division Department of GastroenterologyUniversity of S?o Paulo School of Medicine Department of Anesthesiology University of S?o Paulo School of Medicine

Portal vein thrombosis is a common complica- tion in cirrhotic patients. When portal vein thrombectomy is not a suitable option, a large collateral vessel can be used for allograft venous inflow reconstruction. We describe an unusu- al case of successful portal revascularization using the right gastroepiploic vein. The patient underwent a cadaveric or- thotropic liver transplantation with end-to-end anastomosis of the portal vein to the right gastroepiploic vein. Six months after liver transplantation the patient is well with good liver function. The use of the right gastroepiploic vein for allograft venous reconstruction is feasible and safe, with a great advan- tage of avoiding the need of venous jump graft.

关键词： liver transplantation vascular grafting portal vein, cavernous transformation of varicose veins hypertension, portal

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Ligamentum teres hepatis as a graft for portal and/or superior mesenteric vein reconstruction:From bench to bedside

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World Journal of Gastrointestinal Surgery 2023年第4期15卷 674-686页

作者： Wen-Tao Zhu Hai-Tao Wang Qing-Hai Guan Fan Zhang Chang-Xi Zhang Feng-Ai Hu Bao-Lei Zhao Lei Zhou Qiang Wei Hai-Bin Ji Ting-Liang Fu Xing-Yuan Zhang Rui-Tao Wang Qiang-Pu Chen Department of Hepatobiliary Surgery Binzhou Medical University HospitalBinzhou 256600Shandong ProvinceChina Department of Hepatobiliary Surgery Binzhou Medical University Affiliated Yantai HospitalYantai 264110Shandong ProvinceChina Department of Hepatobiliary Surgery and Clinical Nutrition Center Binzhou Medical University HospitalBinzhou 256600Shandong ProvinceChina Department of Clinical Medicine Laboratory Binzhou Medical University HospitalBinzhou 256600Shandong ProvinceChina Department of Pediatric Surgery Binzhou Medical University HospitalBinzhou 256600Shandong ProvinceChina Department of Hepatobiliary Surgery The First Affiliated Hospital of Xi’an Jiaotong UniversityXi'an 710061Shannxi ProvinceChina

BACKGROUND Pancreaticoduodenectomy combined with portal vein(PV)and/or superior mesenteric vein(SMV)resection in patients with pancreaticobiliary malignancy has become a common surgical *** are various grafts currently used for PV and/or SMV reconstruction,but each of these grafts have certain ***,it is necessary to explore novel grafts that have an extensive resource pool,are low cost with good clinical application,and are without immune response rejection or additional damage to *** To observe the anatomical and histological characteristics of the ligamentum teres hepatis(LTH)and evaluate PV/SMV reconstruction using an autologous LTH graft in pancreaticobiliary malignancy *** In 107 patients,the post-dilated length and diameter in resected LTH specimens were *** general structure of the LTH specimens was observed by hematoxylin and eosin(HE)*** fibers(CFs),elastic fibers(EFs),and smooth muscle(SM)were visualized by Verhoeff-Van Gieson staining,and the expression of CD34,factor VIII-related antigen(FVIIIAg),endothelial nitric oxide synthase(eNOS),and tissue type plasminogen activator(t-PA)were detected using immunohistochemistry in LTH and PV(control)endothelial *** and/or SMV reconstruction using the autologous LTH was conducted in 26 patients with pancreaticobiliary malignancies,and the outcomes were retrospectively *** The post-dilated length of LTH was 9.67±1.43 cm,and the diameter at a pressure of 30 cm H2O was 12.82±1.32 mm at the cranial end and 7.06±1.88 mm at the caudal *** cavities with smooth tunica intima covered by endothelial cells were found in HE-stained LTH *** relative amounts of EFs,CFs and SM in the LTH were similar to those in the PV[EF(%):11.23±3.40 vs 11.57±2.80,P=0.62;CF(%):33.51±7.71 vs 32.11±4.82,P=0.33;SM(%):15.61±5.26 vs 16.74±4.83,P=0.32].CD34,FVIIIAg,eNOS,and t-PA were expressed in both LTH and PV endothelial *** PV and

关键词： Ligamentum teres hepatis Pancreaticoduodenectomy Portal vein Superior mesenteric vein vascular grafting Pancreaticobiliary malignancy

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Postoperative Complications and Patient＇s Satisfaction after Harvesting of the Radial Artery for Coronary Artery Bypass

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Journal of Pharmacy and Pharmacology 2018年第3期6卷 217-224页

作者： Aleksandar V. Milutinovic Miodrag S. Peric Andja M. Cirkovic Petar M. Vukovic Predrag S. Milojevic Institute of Cardiovascular Diseases "Dedinje" Belgrade 11 000 Serbia Department for Medical Statistics and Informatics Faculty of Medicine University of Belgrade Belgrade 11 000 Serbia

Objectives： There is a paucity of data regarding wound-site complications and patient＇s satisfaction after harvesting of a radial artery. This study is conducted to evaluate the frequency complications and the level of patient＇s satisfaction after myocardial revascularization in our setting. Methods： From April 2009 to October 2013, 97 patients had radial artery （RA） used as a graft in myocardial revascularization. The graft was harvested using open technique. This was retrospective study. Telephone questionnaire was used to evaluate： arm pain, swelling, mobility, sensory changes, patient＇s contentment with a cosmetic result and the general health state. Results： Pain of limited duration was reported by 24 patients （24.7%）, none of them reported permanent pain. Some problems in performing everyday＇s activities were reported by 8 pts （8.2%）. Sensory changes were permanently present in 5 pts （5.2%）, and frequent arm fatigue was reported by 4 pts （4.1%）. Positive opinion regarding the cosmetic result was reported by 95 pts （97.9%）. State of the health after surgery, 81 pts （83.5%） described as excellent or good. Patients who had more mobility problems, also had more sensory and neurological discomfort respectively. Patients with better self-reported general health state were also more satisfied with the esthetic effect of the intervention. Conclusions： Using the open technique resulted in excellent cosmetic effect. This gives us credit to point out that exclusive need of the endoscopic as a supreme method might be under the question mark. Our study suggests that individual attitude of the particular patient plays extremely important role in his/her overall satisfaction with the end effect of the procedure.

关键词： Coronary artery bypass radial artery vascular grafting quality of life

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