Department of Transplantation Medicine, Oslo University Hospital, Nydalen, Postboks 4950, 0424, Oslo, Norway.
Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
BMC Surg. 2021 May 28;21(1):268. doi: 10.1186/s12893-021-01265-5.
A case report of two patients who underwent auxiliary liver transplantation and two staged hepatectomy was recently published in BMC Surgery. The surgical technique utilised is described as novel but has been published previously also in the setting of chronic liver disease. A new name for this surgical approach therefore seems redundant. The importance of careful hemodynamic monitoring of pressure and flow in the portal vein and artery of the auxiliary graft as well as optimizing venous outflow is paramount to ensure graft regeneration and avoid small for size syndrome. The relevant surgical considerations to ensure optimal safety has also been reported in previous literature. This brief letter to the editor of BMC Surgery gives an overview that put the article content in context with published literature on this transplant surgical technique.
最近在 BMC 外科学发表了一篇关于两名接受辅助性肝移植和两阶段肝切除术患者的病例报告。该手术技术被描述为新颖，但之前也在慢性肝病的背景下有过报道。因此，这种手术方法的新名称似乎有些多余。重要的是要仔细监测辅助移植物门静脉和动脉的压力和流量，并优化静脉流出，以确保移植物再生并避免小肝综合征。之前的文献也报道了确保最佳安全性的相关手术注意事项。这封给 BMC 外科学编辑的简短信函概述了该文章内容与已发表的关于该移植手术技术的文献的关系。
