右叶活体肝移植的适应症和结果。

IF 2.2 3区 医学 Q2 SURGERY
Updates in Surgery Pub Date : 2025-10-01 Epub Date: 2024-05-27 DOI:10.1007/s13304-024-01785-8
Ivan Vella, Fabrizio di Francesco, Caterina Accardo, Ugo Boggi, Salvatore Gruttadauria
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引用次数: 0

摘要

多年来,由于已故肝脏捐献者器官的短缺,一直需要扩大捐献者库。活体肝脏捐献者是替代已故捐献者的一种可行方式。事实上,在肝脏移植手术中,活体肝脏捐献者--最初是在儿童移植手术中,但几年来也在成人移植手术中--是比已故肝脏捐献者更可行的替代方案。事实上,右肝叶捐献已被证明是一种在发病率和死亡率方面对捐献者生命影响较小的外科手术,而且在这类器官的受者中效果极佳。近年来,越来越多的研究表明,右叶活体肝移植效果极佳,这不仅鼓励了亚洲等历来缺乏死亡供体器官的国家采用这种做法,也使西方国家越来越多地采用这种做法。此外,由于手术技术的改进和高容量中心的经验,这种手术也开始采用微创手术技术进行,使我们能够预见未来几年供体和受体都能获得更好的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Indications and results of right-lobe living donor liver transplantation.

Indications and results of right-lobe living donor liver transplantation.

The shortage of deceased liver donor organs over the years has always posed the need to expand the donor pool. A viable alternative to deceased donors is that of the living donor. Indeed, the living donor in liver transplantation, initially in pediatric transplantation, but for several years now also in adult transplantation, is a more than viable alternative to deceased liver donation. In fact, right liver lobe donation has proven to be a surgical procedure with low impact on the donor's life in terms of morbidity and mortality, with excellent results in recipients of such organs. In recent years, an increasing number of studies have been published that show excellent results in right-lobe living donor liver transplantation, encouraging this practice not only in countries that have historically had a shortage of deceased donor organs, such as Asian countries, but making it a practice of increasing use in Western countries as well. In addition, thanks to improvements in surgical technique and the experience of high-volume centers, this surgery has also begun to be performed using minimally invasive surgical techniques, allowing us to envision ever better outcomes for both donor and recipient in the coming years.

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来源期刊
Updates in Surgery
Updates in Surgery Medicine-Surgery
CiteScore
4.50
自引率
7.70%
发文量
208
期刊介绍: Updates in Surgery (UPIS) has been founded in 2010 as the official journal of the Italian Society of Surgery. It’s an international, English-language, peer-reviewed journal dedicated to the surgical sciences. Its main goal is to offer a valuable update on the most recent developments of those surgical techniques that are rapidly evolving, forcing the community of surgeons to a rigorous debate and a continuous refinement of standards of care. In this respect position papers on the mostly debated surgical approaches and accreditation criteria have been published and are welcome for the future. Beside its focus on general surgery, the journal draws particular attention to cutting edge topics and emerging surgical fields that are publishing in monothematic issues guest edited by well-known experts. Updates in Surgery has been considering various types of papers: editorials, comprehensive reviews, original studies and technical notes related to specific surgical procedures and techniques on liver, colorectal, gastric, pancreatic, robotic and bariatric surgery.
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