Feng Xiao, Fu Binsheng, Yang Qing, Zeng Kaining, Yi Huimin, Yi Shuhong, Yang Yang
Department of Hepatic Surgery and Liver Transplantation Center, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.
Surgical Intensive Care Unit, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.
Liver Res. 2025 Jan 4;9(1):74-78. doi: 10.1016/j.livres.2024.12.004. eCollection 2025 Mar.
Split liver transplantation (SLT) has become an indispensable method for expanding the donor liver pool. However, advanced age in recipients can have significant adverse effects on prognosis. We report the case of an 82-year-old man with chronic liver failure and polycystic liver disease who underwent split right triple lobe donor liver transplantation on October 29, 2021. The patient made a remarkable recovery and was discharged 1 month after surgery. To date, he has been followed up for 32 months, with favorable laboratory and imaging test results, and no significant abnormalities or complications. Currently, this patient may be the oldest SLT recipient in the world. With comprehensive preoperative evaluation, optimized surgical techniques, and individually tailored postoperative care, older adults can safely undergo SLT. Therefore, advanced age should not be considered an absolute contraindication for this procedure.
劈离式肝移植（SLT）已成为扩大供肝来源不可或缺的方法。然而，受者年龄较大可能对预后产生重大不利影响。我们报告一例82岁男性慢性肝衰竭合并多囊肝疾病患者，于2021年10月29日接受了劈离式右三叶供肝移植。患者术后恢复良好，术后1个月出院。迄今为止，他已接受了32个月的随访，实验室检查和影像学检查结果良好，无明显异常或并发症。目前，该患者可能是世界上接受劈离式肝移植年龄最大的受者。通过全面的术前评估、优化的手术技术和个体化的术后护理，老年人可以安全地接受劈离式肝移植。因此，高龄不应被视为该手术的绝对禁忌证。
