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广州5岁女童过世后捐出肝脏 一分为二救活2名婴儿
2017-09-02 17:20:56 中国青年网
当天,在中山三院肝移植手术、麻醉等多团队的共同配合下,手术启动。术中看到,两个婴儿的肝脏因为胆汁淤积已经发黑变形。
张彤介绍,由于婴儿组织格外细小,这场手术难度非常高,主刀专家在术中要戴着4.5倍的放大镜来精细吻合血管和胆管。此外,儿童肝脏非常幼嫩,劈离的创面“跟豆腐一样”,缝合创面也极其考验技术。两场移植手术分别历时9小时、10小时,顺利完成,新鲜红润的“新肝”被分别安置在了两个小宝宝的体内。
术后七天,两个小朋友的肝肾功能已经完全正常,没有出现明显的并发症,顺利康复,近日将康复出院。
胆道闭锁肝移植患儿 理论上可以活一辈子
易述红说,劈离式肝移植是扩大供肝来源,挽救更多肝病患者的有效方法,既往国内报道的这类肝移植,多是将一个成人的肝脏一分为二,分别给一位成人和一位儿童使用,而儿童肝脏劈离式移植罕见成功的报道,“这是因为儿童肝脏本身血管胆管很细小,劈开要保证两边完整,完全接好,对手术设计及受体的选择要求更高。”
中山三院肝脏移植中心在劈离式肝移植方面的发展位居国内前列,去年曾完成国内受体最高年龄、76岁老人的劈离式肝移植,今年4月还完成年龄相差72岁的劈离式肝移植。
张彤说,不少父母担心肝移植手术后健康成长问题,他解释,胆道闭锁为良性肝病,10年生存率已达90%,理论上患儿是可以活一辈子的,能正常成长、上学、结婚、生子,目前国内已经有越来越多的活生生的真实例子给予证明。“我们中心已给予胆道闭锁患儿给予很大的经济和技术上支持,仍需要全社会对胆道闭锁儿童这个弱势群体给予更多的关注和宣传,救助更多可怜的鲜活的生命。”
责任编辑:穆启春 CN063
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