Xi Xu, Tao Lv, Gang Xu, Qiang Wei, Qi Ling, Lin Wei, Jianhua Li, Jiakai Zhang, Yang Cai, Jinzhen Cai, Guihua Chen, Zhishui Chen, Zhonghua Chen, Ying Cheng, Jian Dou, Shunda Du, Chengyou Du, Zhiren Fu, Zhiyong Guo, Lianghui Gao, Xiaoshun He, Qiang He, Lei Huang, Jianzhao Huang, Feng Huo, Changku Jia, Chen Jin, Wentao Jiang, Jipin Jiang, Zuoyi Jiao, Hong-En Jing, Ren Lang, Bo Li, Li Li, Ning Li, Qiyong Li, Wengang Li, Yumin Li, Guangming Li, Jun Liu, Lei Liu, Jingfeng Liu, Lianxin Liu, Zuojin Liu, Shichun Lu, Qian Lu, Ling Lv, Yi Lv, Guoyue Lv, Tingbo Liang, Yingzi Ming, Zhihai Peng, Jianghua Ran, Jun Shi, Beicheng Sun, Chengyi Sun, Xuyong Sun, Yuling Sun, Zhongzhou Si, Yingmei Shao, Jiulin Song, Kaishan Tao, Mujian Teng, Yunle Wan, Xueshuai Wan, Liming Wang, Hao Wen, Gang Wu, Jian Wu, Xiangwei Wu, Zhongjun Wu, Lai Wei, Jian Xu, Jun Xu, Yang Yang, Hongji Yang, Zhanyu Yang, Zhaoxu Yang, Jian Yang, Qifa Ye, Shuhong Yi, Jian Zhou, Feng Zhang, Lei Zhang, Min Zhang, Wu Zhang, Leida Zhang, Shuijun Zhang, Shunyun Zhao, Hong Zheng, Lin Zhong, Haitao Zhu, Jiye Zhu, Xiaofeng Zhu, Zhijun Zhu, Hong Wu, Wenzhi Guo, Zhengxin Wang, Xiao Xu, Jiayin Yang
{"title":"Chinese guidelines for minimally invasive donor hepatectomy in living donor liver transplantation (2024 edition).","authors":"Xi Xu, Tao Lv, Gang Xu, Qiang Wei, Qi Ling, Lin Wei, Jianhua Li, Jiakai Zhang, Yang Cai, Jinzhen Cai, Guihua Chen, Zhishui Chen, Zhonghua Chen, Ying Cheng, Jian Dou, Shunda Du, Chengyou Du, Zhiren Fu, Zhiyong Guo, Lianghui Gao, Xiaoshun He, Qiang He, Lei Huang, Jianzhao Huang, Feng Huo, Changku Jia, Chen Jin, Wentao Jiang, Jipin Jiang, Zuoyi Jiao, Hong-En Jing, Ren Lang, Bo Li, Li Li, Ning Li, Qiyong Li, Wengang Li, Yumin Li, Guangming Li, Jun Liu, Lei Liu, Jingfeng Liu, Lianxin Liu, Zuojin Liu, Shichun Lu, Qian Lu, Ling Lv, Yi Lv, Guoyue Lv, Tingbo Liang, Yingzi Ming, Zhihai Peng, Jianghua Ran, Jun Shi, Beicheng Sun, Chengyi Sun, Xuyong Sun, Yuling Sun, Zhongzhou Si, Yingmei Shao, Jiulin Song, Kaishan Tao, Mujian Teng, Yunle Wan, Xueshuai Wan, Liming Wang, Hao Wen, Gang Wu, Jian Wu, Xiangwei Wu, Zhongjun Wu, Lai Wei, Jian Xu, Jun Xu, Yang Yang, Hongji Yang, Zhanyu Yang, Zhaoxu Yang, Jian Yang, Qifa Ye, Shuhong Yi, Jian Zhou, Feng Zhang, Lei Zhang, Min Zhang, Wu Zhang, Leida Zhang, Shuijun Zhang, Shunyun Zhao, Hong Zheng, Lin Zhong, Haitao Zhu, Jiye Zhu, Xiaofeng Zhu, Zhijun Zhu, Hong Wu, Wenzhi Guo, Zhengxin Wang, Xiao Xu, Jiayin Yang","doi":"10.21037/hbsn-24-329","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Minimally invasive surgeries are increasingly central to modern medicine, particularly in liver transplantation. These techniques, which offer reduced trauma, precise operations, minimal bleeding, and swift recovery, are, however, unevenly adopted across China. Only a limited number of centers routinely perform minimally invasive donor hepatectomies, indicating a significant imbalance in the development and application of these advanced procedures. Additionally, there lacks a set of standardized guidelines that are tailored to meet China's unique healthcare challenges and conditions.</p><p><strong>Methods: </strong>In August 2023, the Branch of Organ Transplant of Chinese Medical Association and the Branch of Organ Transplant Physicians of Chinese Medical Doctor Association convened a group of national liver transplantation experts to establish a guideline development committee. This committee conducted a thorough review of relevant literature, evaluated existing guidelines and consensus, and assessed factors such as the evidence base, patient preferences, and the cost-effectiveness of interventions within China. After multiple rounds of discussions, both online and offline, the committee finalized the guidelines.</p><p><strong>Results: </strong>This collaborative effort led to the creation of the \"Chinese guidelines for minimally invasive donor hepatectomy in living donor liver transplantation (2024 edition)\". These guidelines address crucial aspects such as the safety and advantages of minimally invasive surgery for living donor liver transplantation, donor selection criteria, anesthesia strategies, surgical technical details, and learning curves associated with these procedures, resulting in a comprehensive set of 26 recommendations.</p><p><strong>Conclusions: </strong>The formulation of these guidelines represents a significant advancement towards standardizing minimally invasive liver transplantation surgeries in China. They are designed to enhance outcomes for both donors and recipients by synthesizing expert consensus with contemporary research and clinical practices. Moreover, they serve as a crucial reference for surgeons and medical institutions, promoting the refinement and adoption of minimally invasive surgical techniques in liver transplantation.</p>","PeriodicalId":12878,"journal":{"name":"Hepatobiliary surgery and nutrition","volume":"13 6","pages":"919-936"},"PeriodicalIF":6.1000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634423/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hepatobiliary surgery and nutrition","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.21037/hbsn-24-329","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/20 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Minimally invasive surgeries are increasingly central to modern medicine, particularly in liver transplantation. These techniques, which offer reduced trauma, precise operations, minimal bleeding, and swift recovery, are, however, unevenly adopted across China. Only a limited number of centers routinely perform minimally invasive donor hepatectomies, indicating a significant imbalance in the development and application of these advanced procedures. Additionally, there lacks a set of standardized guidelines that are tailored to meet China's unique healthcare challenges and conditions.
Methods: In August 2023, the Branch of Organ Transplant of Chinese Medical Association and the Branch of Organ Transplant Physicians of Chinese Medical Doctor Association convened a group of national liver transplantation experts to establish a guideline development committee. This committee conducted a thorough review of relevant literature, evaluated existing guidelines and consensus, and assessed factors such as the evidence base, patient preferences, and the cost-effectiveness of interventions within China. After multiple rounds of discussions, both online and offline, the committee finalized the guidelines.
Results: This collaborative effort led to the creation of the "Chinese guidelines for minimally invasive donor hepatectomy in living donor liver transplantation (2024 edition)". These guidelines address crucial aspects such as the safety and advantages of minimally invasive surgery for living donor liver transplantation, donor selection criteria, anesthesia strategies, surgical technical details, and learning curves associated with these procedures, resulting in a comprehensive set of 26 recommendations.
Conclusions: The formulation of these guidelines represents a significant advancement towards standardizing minimally invasive liver transplantation surgeries in China. They are designed to enhance outcomes for both donors and recipients by synthesizing expert consensus with contemporary research and clinical practices. Moreover, they serve as a crucial reference for surgeons and medical institutions, promoting the refinement and adoption of minimally invasive surgical techniques in liver transplantation.
期刊介绍：
Hepatobiliary Surgery and Nutrition (HBSN) is a bi-monthly, open-access, peer-reviewed journal (Print ISSN: 2304-3881; Online ISSN: 2304-389X) since December 2012. The journal focuses on hepatopancreatobiliary disease and nutrition, aiming to present new findings and deliver up-to-date, practical information on diagnosis, prevention, and clinical investigations. Areas of interest cover surgical techniques, clinical and basic research, transplantation, therapies, NASH, NAFLD, targeted drugs, gut microbiota, metabolism, cancer immunity, genomics, and nutrition and dietetics. HBSN serves as a valuable resource for professionals seeking insights into diverse aspects of hepatobiliary surgery and nutrition.
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