Медицинская литература. Новинки

 

 

 

 

 

 

Анатомия печеночной артерии:: клиническое значение при трансплантации печени

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С 2008 по 2011 г. в выполнено 66 ортотопических трансплантаций печени. Нормальная анатомия печеночной артерии выявлена в 66,5% наблюдений. Варианты расположения правой печеночной артерии выявлены в 11% наблюдений, левой печеночной артерии – в 15%, двойное перемещение – в 3% наблюдений, перемещенная общая печеночная артерия – в 1,5% и редкие аномалии – в 3%. В послеоперационном периоде у 7 (10,6%) пациентов развился стеноз печеночной артерии. Причиной развития этого осложнения явился технический фактор, что было связано с отработкой техники трансплантации печени на начальных этапах ее внедрения

Ключевые слова:
трансплантация печени, печеночная артерия, артериальные осложнения

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Hepatic Artery Anatomy: a Clinical Importance in the Liver Transplantation

66 orthotopic liver transplantation is provided during 2008–2011 years. In 66.5% of cases the hepatic artery normal anatomy was revealed. Different variants of the right hepatic artery was noticed in 11%, variants of the left – in 15%, a double transposition – in 3%, transposition of the common hepatic artery in – 1.5% and rare anomalies – in 3%. 7 (10.6%) patients developed the hepatic artery stenosis postoperatively. A reason of the complication appeared to be a technical factor, following elaboration of the liver transplantation technique in the beginning of the study.

Keywords:
liver transplantation, hepatic artery, arterial complications.