Zhang Ming-Xi, Zhao Qiang, He Xiao-Shun
Organ Transplant Center, First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510000, China; Guangdong Provincial Key Laboratory of Organ Donation and Transplant Immunology, Guangzhou 510000, China.
Organ Transplant Center, First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510000, China; Guangdong Provincial Key Laboratory of Organ Donation and Transplant Immunology, Guangzhou 510000, China.
Hepatobiliary Pancreat Dis Int. 2025 Feb;24(1):18-22. doi: 10.1016/j.hbpd.2024.10.002. Epub 2024 Oct 22.
Ischemia-reperfusion injury (IRI) is an inherent issue in organ transplantation. Because of the allograft shortage, more and more extended criteria donor (ECD) organs are used, unfortunately these grafts are more susceptible to IRI. Although machine perfusion technology has brought hope to alleviate IRI, this technology is still unable to eradicate IRI-related organ damage. Ischemia-free liver transplantation (IFLT) can completely avoid IRI, thereby improve graft function and recipient outcome, and allow to expand organ pool. This review summarized the latest progresses in IFLT, and speculated the future development of this concept.
缺血再灌注损伤(IRI)是器官移植中固有的问题。由于同种异体移植物短缺,越来越多的边缘供体(ECD)器官被使用,不幸的是,这些移植物更容易发生IRI。尽管机器灌注技术为减轻IRI带来了希望,但该技术仍无法根除与IRI相关的器官损伤。无缺血肝移植(IFLT)可以完全避免IRI,从而改善移植物功能和受者结局,并扩大器官库。本文综述了IFLT的最新进展,并推测了这一概念的未来发展。