Kasahara Mureo, Sakamoto Seisuke, Fukuda Akinari
Organ Transplantation Center, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, Japan.
Organ Transplantation Center, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, Japan.
Semin Pediatr Surg. 2017 Aug;26(4):224-232. doi: 10.1053/j.sempedsurg.2017.07.008. Epub 2017 Jul 26.
Living-donor liver transplantation is an important component of all liver transplant programs especially in those that care for the pediatric population. Over the last 30 years, innovations in surgical technique have converted living donation from an experimental procedure to a standard of care. Many of these innovations occurred in countries where culturally, deceased donation is limited leaving no alternatives but living donation. The Organ Transplantation Center at the National Center for Child Health and Development (NCCHD) in Tokyo, Japan, was established in 2005 where we have generated some of those innovations and in so doing, have performed living-donor liver transplantation in over 400 children. Here we review the indications, technical details, and outcomes of that cohort.
活体肝移植是所有肝移植项目的重要组成部分，尤其在那些照顾儿童患者的项目中。在过去30年里，手术技术的创新已将活体肝移植从一种实验性手术转变为一种护理标准。其中许多创新发生在一些国家，在这些国家，从文化角度来看，尸体捐赠受限，除了活体捐赠别无选择。日本东京国立儿童健康与发展中心（NCCHD）的器官移植中心成立于2005年，我们在那里实现了一些创新，并在此过程中为400多名儿童进行了活体肝移植。在此，我们回顾该队列的适应症、技术细节和结果。
