【摘要】 对１例晚期肝癌伴肝硬变的患者施行活体供肝部分肝原位移植术，供者为受者之妻。供肝切取时不阻断血流，沿正中裂偏左２ｃｍ处切取左半肝。受者的肝脏全部切除，供受体的肝左静脉行端端吻合，供肝门静脉左支与受者的门静脉主干行端端吻合，供肝左动脉与受者的肝固有动脉在显微镜下行端端吻合，胆道用５ｍｍ硅胶管插入左肝管后行外引流。供肝热缺血时间为０，冷缺血时间为２．５小时。术后用环孢素Ａ与小剂量激素进行免疫抑制。供者术后恢复良好。受者术后５小时即有胆汁分泌，１００～１５０ｍｌ／ｄ，术后第５天出现轻度黄疸，第９天出现腹膜炎体征，即行剖腹探查，供肝左内叶切面有局灶性坏死及胆漏，受者于术后第１２天因心率失常、心跳骤停而死亡。更多还原

【Abstract】 The first case of orthotopic living-related liver transplantation in China was reported in this paper, and the problems about the value of this proceduce, operative indication, key points of surgical techniques and the postoperative rejection were disccused.更多还原