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Back-table surgery pancreas allograft for transplantation:Implications in complications
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摘要：
To describe the main aspects of back-table surgery in pancreatic graft and the problems arising from poor technique.Back-table surgery for pancreatic graft is a complex,meticulous and laborious technique on which the success of implant surgery and perioperative results depends.The technique can be described in the following steps:Preparation of the sterile table,ex-situ inspection of the pancreasspleen block,management of the duodenum,identification of the bile duct,preparation of the portal vein,preparation of the own graft arteries and anastomosis to the arterial graft,spleen management and graft preservation prior to implantation in the recipient.A careful inspection of the pancreas-spleen block should be performed.It is important to identify the stump of the main bile duct,the portal vein cuff,and the arrangement of the superior mesenteric artery and splenic artery.The redundant duodenum must be removed.The availability of a good venous cuff facilitates the portal vein anastomosis and the positioning of the graft,two key points to prevent thrombosis.The section line of the arteries must be clean,without atherosclerosis,to prevent arterial thrombosis.The superior and splenic mesenteric arteries are generally separated by dense fibrolymphatic tissue.The artery can be reconstructed by interposing a"Y"graft from the donor iliac artery;or with an end-to-end anastomosis between the splenic artery and the superior mesenteric artery.An exquisite technique of bench work helps to prevent the most feared complications of pancreas transplantation:Thrombosis and graft pancreatitis.
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| 篇名 | Back-table surgery pancreas allograft for transplantation:Implications in complications | ||
| 来源期刊 | 世界移植杂志 | 学科 | 医学 |
| 关键词 | Pancreas transplantation Back-bench work Pancreas thrombosis Graft pancreatitis Arterial reconstruction Pancreas allograft | ||
| 年，卷（期） | 2021,（1） | 所属期刊栏目 | |
| 研究方向 | 页码范围 | 1-6 | |
| 页数 | 6页 | 分类号 | R57 |
| 字数 | 语种 | ||
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Pancreas
transplantation
Back-bench
work
Pancreas
thrombosis
Graft
pancreatitis
Arterial
reconstruction
Pancreas
allograft
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世界移植杂志
主办单位：
百世登出版集团有限公司
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不定期
ISSN：
2220-3230
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出版地：
北京市朝阳区东四环中路62号楼远洋国际中
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41
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0
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