Analysis on the application of vascular closure system in portal vein reconstruction of liver transplantation: report of 137 cases
10.3969/j.issn.1674-7445.2018.04.003
- VernacularTitle:血管闭合系统在肝移植门静脉重建中的应用分析:附137例报道
- Author:
Bing PAN
1
;
Shaocheng LYU
;
Lixin LI
;
Xin ZHAO
;
Zhihua ZHANG
;
Ping LI
;
Ren LANG
;
Qiang HE
Author Information
1. 首都医科大学附属北京朝阳医院肝胆外科
- Keywords:
Vascular closure system;
Traditional suture;
Allogenic orthotopic liver transplantation;
Portal vein;
Vascular anastomosis;
Operative time;
Perioperative complications;
Thrombosis
- From:
Organ Transplantation
2018;9(4):255-260
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the application effect of non-penetrating vascular closure system in portal vein reconstruction of allogenic liver transplantation in adults. Methods Clinical data of 222 patients undergoing allogeneic liver transplantation were retrospectively analyzed. According to whether vascular closure system was used in portal vein reconstruction during operation, all patients were divided into vascular clip group (n=137) and traditional suture group (n=85). Perioperative conditions, clinical prognosis and complications were statistically compared between two groups. Results All patients successfully completed the surgery. The success rate of one-time portal vein anastomosis was 93.4% (128/137) in the vascular clip group. A total of 14 patients died during perioperative period in this study with a mortality rate of 6.3% (14/222). No portal vein-related complications occurred during perioperative period in both groups. The time of portal vein anastomosis in the vascular clip group was (5.6±1.7) min, which was significantly shorter than (10.7±3.6) min in the traditional suture group (P<0.05). The incidence and grade of perioperative complications did not significantly differ between two groups (all P>0.05). Conclusions It is safe and feasible to utilize vascular closure system to reconstruct the portal vein during liver transplantation. Compared with traditional suture, it can effectively shorten the time of portal vein anastomosis.
