Bozkurt Birkan, Dayangac Murat, Tokat Yaman
Chirurgia (Bucur). 2017 May-Jun;112(3):217-228. doi: 10.21614/chirurgia.112.3.217.
In 50 years after the first liver transplantation, the medical world has witnessed the liver transplantation to become one of the widely recognized and leading branches of surgery. In this period, liver transplantation combined with surgical technique, patient selection, advancements in anesthesia and postoperative care and increased experience has become the most effective treatment option in treatment of several acute and chronic liver diseases. Yet, the worldwide organ restriction and associated high mortality rates in organ transplantation waiting list has compelled referring to living donors in order to expand the donor pool. This paper explains liver transplantation indications from living donors, the surgical technique involved, the complications of the procedure and the medical treatments used.
在首次肝移植后的50年里,医学界见证了肝移植成为外科领域广泛认可的主要分支之一。在此期间,肝移植结合手术技术、患者选择、麻醉进展、术后护理以及经验的增加,已成为治疗多种急慢性肝病最有效的治疗选择。然而,全球范围内的器官限制以及器官移植等待名单上相关的高死亡率,促使人们求助于活体供体以扩大供体库。本文阐述了活体供体肝移植的适应证、所涉及的手术技术、手术并发症以及所采用的医学治疗方法。