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成人受者的肝脏再次移植

Liver retransplantation for adult recipients.

作者信息

Hwang Shin, Ahn Chul-Soo, Kim Ki-Hun, Moon Deok-Bog, Ha Tae-Yong, Song Gi-Won, Jung Dong-Hwan, Park Gil-Chun, Lee Sung-Gyu

机构信息

Division of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

出版信息

Korean J Hepatobiliary Pancreat Surg. 2013 Feb;17(1):1-7. doi: 10.14701/kjhbps.2013.17.1.1. Epub 2013 Feb 28.

Abstract

Living donor liver graft can be used for the first or second liver transplantation. The timing of retransplantation also should be stratified as 2 types according to the reoperation timing. Combination of these two classifications results in 6 types of living donor liver transplantation (LDLT)-associated retransplantation. However, late retransplantation to LDLT might have not been performed in most LDLT programs, thus other 4 types of LDLT-associated retransplantation can be taken into account. The most typical type of LDLT-associated retransplantation might be early living donor-to-deceased donor retransplantation. For early living donor-to-living donor retransplantation, its eligibility criteria might be similar to those of early living donor-to-deceased donor retransplantation. For early deceased donor-to-living donor retransplantation, its indications are exactly the same to those for aforementioned living donor-to-living donor retransplantation. Late deceased donor retransplantation after initial LDLT has the same indication for ordinary late deceased donor retransplantation.

摘要

活体供肝可用于首次或二次肝移植。再次移植的时机也应根据再次手术时机分为2种类型。这两种分类方式相结合,产生了6种与活体肝移植(LDLT)相关的再次移植类型。然而,在大多数LDLT项目中可能并未进行LDLT的晚期再次移植,因此可以考虑其他4种与LDLT相关的再次移植类型。与LDLT相关的再次移植中最典型的类型可能是早期活体供体到尸体供体的再次移植。对于早期活体供体到活体供体的再次移植,其入选标准可能与早期活体供体到尸体供体的再次移植相似。对于早期尸体供体到活体供体的再次移植,其适应证与上述活体供体到活体供体的再次移植完全相同。初次LDLT后的晚期尸体供体再次移植与普通晚期尸体供体再次移植具有相同的适应证。

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