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右叶活体供肝肝移植

Right-lobe living donor liver transplantation.

作者信息

Marcos A

机构信息

University of Rochester Medical Center, Rochester, NY 14642-8410, USA.

出版信息

Liver Transpl. 2000 Nov;6(6 Suppl 2):S59-63. doi: 10.1053/jlts.2000.19011.

DOI:10.1053/jlts.2000.19011
PMID:11084087
Abstract
  1. Living donor liver transplantation (LDLT) is currently performed at about 30 centers in the United States. 2. Careful and critical evaluation of donor and recipient is required for optimal outcome. 3. Right lobe donation is preferred over left lobe donation in adult LDLT. 4. There has been 1 donor death (<0.3%) in the US experiences. Donor biliary complications occur in approximately 4% of the cases. 5. Recipient survival after adult LDLT in the United States is approximately 88%. Hepatic artery thrombosis occurs in 3% and biliary complications in 18%.
摘要
  1. 活体供肝肝移植(LDLT)目前在美国约30个中心开展。2. 为获得最佳疗效,需要对供体和受体进行仔细且严格的评估。3. 在成人活体供肝肝移植中,右叶供肝优于左叶供肝。4. 在美国的经验中,有1例供体死亡(<0.3%)。约4%的病例发生供体胆道并发症。5. 美国成人活体供肝肝移植术后受体生存率约为88%。肝动脉血栓形成发生率为3%,胆道并发症发生率为18%。

相似文献

1
Right-lobe living donor liver transplantation.右叶活体供肝肝移植
Liver Transpl. 2000 Nov;6(6 Suppl 2):S59-63. doi: 10.1053/jlts.2000.19011.
2
[Hepatic arterial reconstruction and complications management in adult-to-adult living donor liver transplantation].[成人活体肝移植中肝动脉重建及并发症处理]
Zhonghua Wai Ke Za Zhi. 2008 Feb 1;46(3):166-9.
3
Evaluation of 100 patients for living donor liver transplantation.对100例活体供肝肝移植患者进行评估。
Liver Transpl. 2000 May;6(3):290-5. doi: 10.1002/lt.500060323.
4
Measures for increasing the safety of donors in living donor liver transplantation using right lobe grafts.提高使用右叶移植物的活体供肝肝移植中供体安全性的措施。
Hepatobiliary Pancreat Dis Int. 2007 Dec;6(6):590-5.
5
Safety of donor in adult-to-adult living donor liver transplantation using right lobe graft.使用右叶移植物的成人对成人活体供肝肝移植中供体的安全性。
Transplant Proc. 2007 Jan-Feb;39(1):150-2. doi: 10.1016/j.transproceed.2006.10.013.
6
Adult-to-adult live-donor liver transplantation: the current status.成人对成人活体供肝肝移植:现状
J Hepatobiliary Pancreat Surg. 2006;13(2):110-6. doi: 10.1007/s00534-005-1016-x.
7
Long-term complications of living donor liver transplantation.活体肝移植的长期并发症。
Liver Transpl. 2000 Nov;6(6 Suppl 2):S73-6. doi: 10.1053/jlts.2000.18686.
8
Problems in adult living donor liver transplantation using the right hepatic lobe.成人活体供肝右半肝移植中的问题
Hepatobiliary Pancreat Dis Int. 2006 Aug;5(3):345-9.
9
Comprehensive cost comparison of adult-adult right hepatic lobe living-donor liver transplantation with cadaveric transplantation.成人对成人右肝叶活体肝移植与尸体肝移植的综合成本比较。
Transplantation. 2003 Feb 27;75(4):473-6. doi: 10.1097/01.TP.0000047310.04069.ED.
10
Right hepatic lobe donation for living donor liver transplantation: impact on donor quality of life.活体供肝肝移植中右肝叶供肝对供体生活质量的影响
Liver Transpl. 2001 Jun;7(6):485-93. doi: 10.1053/jlts.2001.24646.

引用本文的文献

1
Defining Surgical Difficulty During Open Right Lobe Donor Hepatectomy and its Prediction Using Preoperative Donor Computed Tomography Morphometry.开放右叶供体肝切除术中手术难度的定义及其术前供体计算机断层扫描形态学预测
J Clin Exp Hepatol. 2024 Nov-Dec;14(6):101446. doi: 10.1016/j.jceh.2024.101446. Epub 2024 May 16.
2
Donor Evaluation Protocol for Live and Deceased Donors.活体和已故供体的供体评估方案
J Clin Exp Hepatol. 2024 Jan-Feb;14(1):101217. doi: 10.1016/j.jceh.2023.07.004. Epub 2023 Jul 13.
3
A nomogram for prediction of early allograft dysfunction in living donor liver transplantation.
用于预测活体肝移植早期移植肝功能障碍的列线图。
Medicine (Baltimore). 2020 Oct 16;99(42):e22749. doi: 10.1097/MD.0000000000022749.
4
Comparison of different magnetic resonance cholangiography techniques in living liver donors including Gd-EOB-DTPA enhanced T1-weighted sequences.包括钆塞酸二钠增强T1加权序列在内的不同磁共振胆管造影技术在活体肝供体中的比较。
PLoS One. 2014 Nov 26;9(11):e113882. doi: 10.1371/journal.pone.0113882. eCollection 2014.
5
Outcome of patients undergoing right lobe living donor liver transplantation with small-for-size grafts.小体积供肝右半肝活体肝移植患者的结局。
World J Gastroenterol. 2014 Jan 7;20(1):282-9. doi: 10.3748/wjg.v20.i1.282.
6
Day-of-surgery rejection of donors in living donor liver transplantation.活体肝移植中供体的手术日排斥反应。
World J Hepatol. 2012 Nov 27;4(11):299-304. doi: 10.4254/wjh.v4.i11.299.
7
Addition of adult-to-adult living donation to liver transplant programs improves survival but at an increased cost.将成人对成人活体肝移植纳入肝移植项目可提高生存率,但成本会增加。
Liver Transpl. 2009 Feb;15(2):148-62. doi: 10.1002/lt.21671.
8
Living donor liver transplantation.活体供肝移植。
HPB (Oxford). 2006;8(1):10-21. doi: 10.1080/13651820500465626.
9
Living donor liver resection: a low-tech but highly efficient technique. The Regensburg experience.活体供肝肝切除术:一项技术含量不高但效率极高的技术。雷根斯堡的经验。
Langenbecks Arch Surg. 2008 May;393(3):413-21. doi: 10.1007/s00423-007-0261-7. Epub 2008 Jan 3.
10
Analysis of postsurgical complications in 75 living liver transplantation donors.75例活体肝移植供体术后并发症分析
J Gastrointest Surg. 2006 May;10(5):646-51. doi: 10.1007/BF03239970.