Zamora-Valdes Daniel, Leal-Leyte Pilar, Kim Peter, Testa Giuliano
Simmons Transplant Institute, Baylor University Medical Center, Dallas, Texas, USA.
Ann Hepatol. 2017 Jul-Aug;16(4):480-486. doi: 10.5604/01.3001.0010.0271.
Liver disease is a major cause of mortality worldwide. Liver transplantation (LT) is the most effective treatment for end stage liver disease. Available resources and social circumstances have led to different ways of implementing LT around the world. The experience with pediatric LT corroborates the hypothesis that a combination of surgical strategies can be beneficial. The goal of this manuscript is to describe the strategies used by LT centers in North America, Europe and Asia and how these strategies can be applied to reduce waitlist mortality and increase access to LT.
肝脏疾病是全球范围内主要的死亡原因。肝移植（LT）是终末期肝病最有效的治疗方法。可用资源和社会环境导致了世界各地实施肝移植的方式各不相同。小儿肝移植的经验证实了联合手术策略可能有益的假设。本文的目的是描述北美、欧洲和亚洲肝移植中心所采用的策略，以及如何应用这些策略来降低等待名单上的死亡率并增加肝移植的可及性。
