中国实用外科杂志

• 院士论坛 •    下一篇

我国活体肝移植的进展与展望

夏    强,徐东伟   

  1. 上海交通大学医学院附属仁济医院肝脏外科,上海200127
  • 出版日期:2025-01-01

  • Online:2025-01-01

摘要: 目前,肝移植已成为终末期肝病的常规治疗手段,供肝的严重短缺促使活体肝移植技术逐渐应用于临床。经过20余年的发展,我国活体肝移植技术日渐成熟,已经成为扩大供肝池的重要途径之一。然而与尸体肝移植相比,活体肝移植技术复杂,需要手术团队在术前评估和手术规划过程中更加精细才能保证供受体围手术期的安全,还需要更加完善的随访体系来提高供受体术后长期生存质量。

关键词: 活体肝移植, 微创外科, 生存质量, 精准肝脏外科

Abstract: Liver transplantation has become a routine treatment for end-stage liver disease. The shortage of donors has prompted the application of living liver transplantation. After more than 20 years of development, as one of the vital ways to expand the donor pool, the living donor liver transplantation technique has become more mature in China. Compared with classical liver transplantation, living donor liver transplantation is more complex, the surgical team should be more meticulous during preoperative evaluation and recipients’ operation to ensure the safety of the perioperative period. In addition, a better postoperative management system is also needed to improve the health-related quality of life of the donor and recipient. The authors intend to discuss the evaluation of donors and recipients, surgical technology development, and improvement of the health-related quality of life in donors and recipients after surgery.

Key words: living donor liver transplantation, minimally invasive surgery, quality of life, precision liver surgery