開課講師｜李韋鋒
課程資訊｜2025.9.20-2
報名方式｜線上報名
課程介紹｜
活體肝臟移植（LDLT）是治療末期肝病或符合標準的肝細胞癌（HCC）患者的成熟療法，尤其適用於如台灣這類缺乏屍體器官捐贈的國家。部分肝葉移植中的靜脈引流重建至關重要，可減少移植肝臟淤血區域並確保其功能。在成人右肝葉移植中，肝靜脈引流通常呈多樣且多重分布。常見技術包括將前區肝靜脈延伸至下腔靜脈，或使用補片進行多條肝靜脈的靜脈成形術。重建所用材料多樣，包括人工血管、受贈者自體血管或屍體捐贈者的冷凍保存血管。本研究分享本中心使用冷凍保存血管進行肝靜脈重建的經驗，說明其手術方式、材料選擇與臨床結果，並強調此技術在處理複雜肝靜脈解剖結構中的可行性與有效性。
Living donor liver transplantation (LDLT) is a well-established treatment for end-stage liver disease or hepatocellular carcinoma within criteria, especially in countries with deceased donor shortages like Taiwan. Outflow reconstruction is critical to minimize graft congestion and ensure optimal graft function. In adult LDLT using right lobe grafts, hepatic venous outflows are often variable and multiple. Common techniques include extending the anterior sector vein to the inferior vena cava or performing venoplasty with a patch. Various materials have been utilized for venous reconstruction, such as artificial vascular grafts, autologous veins from the recipient, and cryopreserved vascular grafts from deceased donors. This study presents our single-center experience using cryopreserved vascular grafts for hepatic vein reconstruction in LDLT. We highlight the surgical approach, graft selection, and outcomes, emphasizing the feasibility and effectiveness of cryopreserved grafts in managing complex venous anatomy during right lobe LDLT.
講師介紹｜
