摘要
在全世界肝移植等待者数量不断增加情况下,开展活体肝移植能相对缓解供肝数量不足,扩大肝移植供肝池。与经典肝移植比较,活体肝移植手术操作更加复杂和要求更加精细,许多问题亟需进一步探讨和解决。笔者回顾性分析相关研究成果,结合自身临床实践,针对活体肝移植供者筛选与评估、供肝选择、手术革新和肝癌治疗进行讨论,从而为缓解供肝短缺、改善受者预后提供借鉴。
With the increasing number of patients waiting for liver transplantation worldwide,the development of living donor liver transplantation can not only alleviate the shortage of donor liver,but also expand the donor pool.Compared with classical liver transplantation,living donor liver transplantation is more complex and delicate in surgical operation,with many problems to be further discussed and solved.The authors retrospectively analyze relevant research results,combined with clinical practice,investigate the selection and evaluation of donor,selection of donor liver,surgical innovation and treatment of hepatocellular carcinoma in living donor liver transplan-tation,in order to provide helps for alleviating the shortage of donor liver and improving the prognosis of recipients.
作者
夏强
沙朦
Xia Qiang;Sha Meng(Department of Liver Surgery,Renji Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200127,China)
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2022年第1期39-42,共4页
Chinese Journal of Digestive Surgery
基金
国家自然科学基金(92059205,81972205)。
关键词
普通外科
肝移植
活体
供者筛选
肝癌
腹腔镜检查
General surgery
Liver transplantation
Living
Donor screening
Hepa-tocellular carcinoma
Laparoscopy
