摘要
随着终末期肝病患者数量逐年增加,肝移植手术作为有效治疗手段,其安全性和疗效是需要考虑的重要问题,肝移植技术也成为了新的研究热点。多年来,经过广大研究者们的不懈努力,肝移植技术在不断创新与发展,研究者们相继开展了劈离式肝移植、无缺血肝移植、异种肝移植、多米诺肝移植、肝切除联合Ⅱ~Ⅲ段部分肝移植的延期全肝切除、脾窝异位辅助性肝移植及磁吻合等肝移植技术,为扩大供者池、提高肝移植疗效、改善肝移植受者生活质量奠定了基础。本文就肝移植手术技术的探索与发展、创新与改进方面进行综述和展望,以期为肝移植的临床应用提供参考。
Along with the increasing quantity of patients with end-stage liver diseases year by year,as an efficacious treatment,the safety and efficacy of liver transplantation are critical issues to be considered.In addition,liver transplant techniques have become a new research hot spot.In recent years,liver transplant techniques are constantly innovating and developing with the unremitting efforts of researchers.Researchers have successively developed multiple liver transplant techniques,such as split liver transplantation,ischemia-free liver transplantation,liver xenotransplantation,domino liver transplantation,delayed total hepatectomy combined with liver resection and segmentⅡ-Ⅲliver transplantation,heterotopic auxiliary liver transplantation on splenic fossa and magnetic anastomosis.It has laid a foundation for expanding the donor pool,improving clinical efficacy of liver transplantation and enhancing the quality of life of liver transplant recipients.In this article,the exploration,development,innovation and improvement of liver transplant techniques were reviewed and prospected,aiming to provide reference for clinical application of liver transplantation.
作者
谢闰鹏
谷明旗
张凤博
姜洪池
Xie Runpeng;Gu Mingqi;Zhang Fengbo;Jiang Hongchi(Department of Liver Surgery,the First Affliated Hospital of Harbin Medical University,Haerbin 150001,China)
出处
《器官移植》
CAS
CSCD
北大核心
2022年第1期105-110,共6页
Organ Transplantation
基金
国家科技支撑计划(2015BAI3B09)
美国中华医学基金会(CMB)项目(08-894)。
关键词
肝移植
手术技术
劈离式肝移植
无缺血肝移植
异种肝移植
多米诺肝移植
肝切除
辅助性肝移植
磁吻合
Liver transplantation
Surgical technique
Split liver transplantation
Ischemia-free liver transplantation
Liver xenotransplantation
Domino liver transplantation
Liver resection
Auxiliary liver transplantation
Magnetic anastomosis
