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劈离式肝移植：在供体和受体中实现更安全、更简单的技术。

Domino-liver transplantation: toward a safer and simpler technique in both donor and recipient.

机构信息

Institute for Experimental and Clinical Research (IREC), Université Catholique de Louvain (UCL), Avenue Hippocrate 55, 1200, Brussels, Belgium.

Liver Transplant Program, Sapienza University of Rome, Rome, Italy.

出版信息

Updates Surg. 2021 Feb;73(1):223-232. doi: 10.1007/s13304-020-00886-4. Epub 2020 Sep 23.

DOI:10.1007/s13304-020-00886-4
PMID:32965591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7889565/
Abstract

Domino-liver transplantation represents a rare chance to expand the donor liver pool. Fear of putting both donor and recipient at disadvantage has meant that the procedure has not been applied universally. A modification of the original technique which allows both safe procurement of the graft as well as safe implantation of the reconstructed graft in the domino-graft recipient using a 180° rotated, adequately trimmed, free iliaco-caval venous graft is described in detail.

摘要

劈裂式肝移植代表了扩大供肝池的一个难得机会。由于担心供体和受体都处于不利地位，该手术并未普遍应用。本文详细描述了一种改良技术，使用 180°旋转、适当修剪的游离髂-腔静脉移植物，既能安全获取移植物，又能安全植入劈裂式供肝受者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5bb/7889565/b7fa9b080699/13304_2020_886_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5bb/7889565/979fe0dd1784/13304_2020_886_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5bb/7889565/b37de9cc7228/13304_2020_886_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5bb/7889565/9775773c6d33/13304_2020_886_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5bb/7889565/b7fa9b080699/13304_2020_886_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5bb/7889565/979fe0dd1784/13304_2020_886_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5bb/7889565/b37de9cc7228/13304_2020_886_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5bb/7889565/9775773c6d33/13304_2020_886_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5bb/7889565/b7fa9b080699/13304_2020_886_Fig4_HTML.jpg

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本文引用的文献

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Liver Transpl. 2019 Jun;25(6):889-900. doi: 10.1002/lt.25423. Epub 2019 Apr 19.
2
Progression of transthyretin (TTR) amyloidosis in donors and recipients after domino liver transplantation-a prospective single-center cohort study.家族性淀粉样多发性神经病变患者供肝接受者和供肝捐献者在多米诺肝移植后的转甲状腺素蛋白（TTR）淀粉样变性的进展：一项前瞻性单中心队列研究。
Transpl Int. 2018 Nov;31(11):1207-1215. doi: 10.1111/tri.13326. Epub 2018 Aug 28.
3
西方世界对活体肝移植生存获益的观点：对杰克逊等人发表于《美国医学会杂志·外科学》上文章的评论
Transpl Int. 2022 Oct 25;35:10931. doi: 10.3389/ti.2022.10931. eCollection 2022.
Outcomes of domino liver transplantation compared to deceased donor liver transplantation: a propensity-matching approach.
与尸体供肝肝移植相比，多米诺肝移植的结果：倾向匹配方法。
Transpl Int. 2018 Nov;31(11):1200-1206. doi: 10.1111/tri.13291. Epub 2018 Jul 17.
4
Ethical Analysis and Policy Recommendations Regarding Domino Liver Transplantation.关于多米诺肝移植的伦理分析与政策建议
Transplantation. 2018 May;102(5):803-808. doi: 10.1097/TP.0000000000002095.
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Liver Transpl. 2017 Sep;23(9):1226-1228. doi: 10.1002/lt.24816.
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