肝移植(1)。
Liver transplantation (1).
作者信息
Starzl T E, Demetris A J, Van Thiel D
机构信息
Department of Surgery, University of Pittsburgh, PA.
出版信息
N Engl J Med. 1989 Oct 12;321(15):1014-22. doi: 10.1056/NEJM198910123211505.
Abstract
Advances in the management of both chronic and acute hepatic disease have been made possible and even mandated by the development of liver transplantation. The clinical use of transplantation has proceeded at a rapid pace since a Consensus Development Conference of the National Institutes of Health concluded in June 1983 that liver transplantation had become a service and not simply an experimental procedure. The liver can be transplanted as an extra (auxiliary) organ at an ectopic site, or in the orthotopic location after the removal of the host liver (Fig. 1). This article will focus primarily on the orthotopic procedure. However, there has been renewed interest in the auxiliary operation, which will be discussed separately.
摘要
肝脏移植的发展使得慢性和急性肝病的治疗取得了进展，甚至可以说这种进展是必然的。自1983年6月美国国立卫生研究院的一次共识发展会议得出肝脏移植已成为一种常规医疗服务而非仅仅是实验性手术的结论以来，移植技术在临床上的应用进展迅速。肝脏既可以作为额外的（辅助）器官移植到异位部位，也可以在切除宿主肝脏后移植到原位（图1）。本文将主要聚焦于原位移植手术。然而，人们对辅助性手术重新产生了兴趣，这将另行讨论。
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本文引用的文献
1
Evidence for hyperacute rejection of human liver grafts: The case of the canary kidneys.人类肝脏移植超急性排斥反应的证据：金丝雀肾脏的案例。
Clin Transplant. 1989;3:37-45.
2
Comparison of UW with other solutions for liver preservation in dogs.UW液与其他犬肝脏保存溶液的比较。
Clin Transplant. 1989 Oct;3(5):253-259.
3
Biliary Tract Complications in Liver Transplantation Under Cyclosporin-Steroid Therapy.环孢素 - 类固醇疗法下肝移植中的胆道并发症
Transplant Proc. 1983 Mar;15(1):1283-1291.
4
Hepatic Retransplantation.肝脏再次移植
Transplant Proc. 1985 Feb;17(1):264-271.
5
HOMOTRANSPLANTATION OF THE LIVER IN HUMANS.人类肝脏同种移植
Surg Gynecol Obstet. 1963 Dec;117:659-76.
6
Liver transplantation for advanced liver disease with alpha-1-antitrypsin deficiency.针对患有α-1抗胰蛋白酶缺乏症的晚期肝病进行肝移植。
N Engl J Med. 1980 Jan 31;302(5):272-5. doi: 10.1056/NEJM198001313020505.
7
Evolution of liver transplantation.肝移植的发展历程。
Hepatology. 1982 Sep-Oct;2(5):614-36. doi: 10.1002/hep.1840020516.
8
Prediction of fatality in fulminant hepatic failure.暴发性肝衰竭中病死率的预测
Scand J Gastroenterol. 1984 Jan;19(1):90-6.
9
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N Engl J Med. 1984 Dec 27;311(26):1658-64. doi: 10.1056/NEJM198412273112603.
10
Alternative methods of arterialization of the hepatic graft.
Surg Gynecol Obstet. 1984 Nov;159(5):490-3.
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