Zhonghua Wai Ke Za Zhi. 2025 Jan 1;63(1):1-12. doi: 10.3760/cma.j.cn112139-20240912-00422.
The donor organ shortage is still a "bottleneck" problem in the field of liver transplantation, and has been limiting the development of liver transplantation. In order to effectively expand the source of donor organs, transplant experts have also been thinking about technological innovation to solve this outstanding problem. Split liver transplantation is an effective strategy to solve the difficult problem, and it is a highly focused and applied technology in the transplantation field in recent years. However, the perioperative complication rate of split liver transplantation is still high. In order to further improve the perioperative management of split liver transplantation, the Enhanced Recovery after Surgery Committee of the Chinese Research Hospital Association organized experts from multiple disciplines and formulated the consensus to improve the perioperative management of split liver transplantation and further demonstrated and formulated this consensus according to the principles of evidence-based medicine. This consensus provides recommendations from three aspects: preoperative evaluation, intraoperative operation, and postoperative management, in order to provide reference for centers that are conducting or planning to conduct split liver transplantation.
供体器官短缺仍是肝移植领域的“瓶颈”问题，一直制约着肝移植的发展。为有效扩大供体器官来源，移植专家也一直在思考通过技术创新来解决这一突出问题。劈离式肝移植是解决这一难题的有效策略，是近年来移植领域备受关注且应用的技术。然而，劈离式肝移植的围手术期并发症发生率仍较高。为进一步提高劈离式肝移植的围手术期管理水平，中国研究型医院学会手术加速康复委员会组织多学科专家，依据循证医学原则制定了提高劈离式肝移植围手术期管理的共识，并进一步论证和制定了本共识。本共识从术前评估、术中操作、术后管理三个方面给出建议，为正在开展或计划开展劈离式肝移植的中心提供参考。
