Reductioninbileleaksfollowingadultsplitlivertransplantusingafibrin-collagensponge:Apilotstudy成人劈离式肝移植手术使用纤维蛋白胶原海绵后胆漏减少：一项试点研究Backtablepreparation:livercutsurfaceafterex-vivosplitprocedure回表编制：劈离式手术拆分肝脏切表面Intra-operativeview:bloodrisingfromthelivercutsurfaceafterreperfusion术视图：从肝移植手术再灌注切割表面血液上升ApplicationofTachosilonthecutsurface:thesurgeonpressesonthespongefor3–5minwithawetswab在的切割面上的Tachosil（可吸收性纤维胶原蛋白凝胶）应用：按3-5分钟，用湿棉棒海绵上的外科医生Bileleaksareafrequentcomplicationofadultsplitlivertransplantation.胆汁泄漏是成人肝移植术常见的并发症。Wecomparedsurgicalcomplicationsinpatientswhohadthecutsurfaceofthedonorlivertreatedwithapatchtothoseinwhomthecutsurfaceoftheliverwastreatedwithfibringlue我们比较有术后并发症的捐助者肝脏表面治疗方法，那些人的肝脏的切割的面与纤维蛋白胶的修补程序。Materialandmethods:Twoconsecutivecohortsof16patientsundergoingadultrightlobesplitlivertransplantwerecompared.。材料和方法：两个连续组群16个接受成人右叶劈离式肝移植手术的患者进行了比较。Inthefirstcohort,theliversurfacewastreatedwithfibringlueandinthesecondtheliversurfacewastreatedwithTachoSil®fibrinogen-thrombin-collagenpatches.在第一队列，肝表面使用纤维蛋白胶并在第二次肝脏表面处理TachoSil®纤维蛋白原凝血酶胶原的修补程序。Post-operativecomplicationswereanalyzed.分析了术后并发症。Results:Bileleaksweresignificantlyfeweramongpatientsinwhomthecutsurfaceoftheliverwastreatedwithfibrin-collagenspongecomparedtothosewherefibringluewasusedonthecutsurface:1/16(6.25%)vs.7/16(43.75%),respectively;p=0.03.结果：在人肝脏的切割的面使用纤维蛋白胶原海绵组患者胆漏发生明显较少于那些使用纤维蛋白胶组：1/16(6.25%)vs.7/16(43.75%)分别；p=0.03Thereweresomedifferencesinbiliaryanastomotictechniquesusedinthetwogroupsbut7/8leaks(87.5%)arosefromthecutsurface,andonlyonewasfromtheanastomosis.在两个组中使用的胆道吻合技术有一些差别，但7/8泄漏(87.5%)出现在切割面，并且只有一个是从吻合处。Conclusion:Usingafibrinogen-thrombin-colla...
