Department of General, Visceral and Transplantation Surgery, Ruprecht-Karls University, Heidelberg, Germany.
Clin Transplant. 2013 Jul-Aug;27 Suppl 25:56-65. doi: 10.1111/ctr.12190.
The improvement of outcomes in intestinal transplantation (ITx) over the last two decades has been made possible through standardization in surgical techniques, improvements in immunosuppressive and induction protocols, and post-operative patient care. From a surgical technical point of view, all different types of small bowel containing transplants can be categorized into three main prototypes, including isolated small bowel, liver-small bowel, and multivisceral transplantations. In this review, we describe these three main prototypes and discuss the most important technical modifications of each type, as well as donor and recipient procedures, and highlight the more recent operative technical topics of discussion in the literature.
在过去的二十年中，通过规范手术技术、改进免疫抑制和诱导方案以及术后患者护理，使肠移植（ITx）的结果得到改善。从手术技术的角度来看，所有不同类型的含小肠移植都可以分为三种主要类型，包括孤立小肠、肝小肠和多器官移植。在这篇综述中，我们描述了这三种主要类型，并讨论了每种类型的最重要的技术改进，以及供体和受体的程序，并强调了文献中最近讨论的更具创新性的手术技术主题。
