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在体劈离式肝移植的外科技术进展

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Author:: No author available

Journal Title:: National Medical Journal of China

Issue:: 40

DOI:: 10.3760/cma.j.issn.0376-2491.2013.40.020

Key Word:: No keyword available

Abstract：一、劈离式肝移植的概念劈离式肝移植(SLT)是指将一个完整供肝劈离为两个具有独立解剖和功能的移植物,分别移植给两个受体的一种肝移植技术.作为一种增加供肝来源的重要移植技术,它避免了活体肝移植(LDLT)的供者风险等缺点,已成为当今公认的移植新技术和研究热点[1].该技术于1988年由德国Pichlmayr首次实施,在不减少成人供肝的前提下极大地缓解了儿童供肝缺乏问题.随着相关技术发展,受体范围逐渐扩展到两成人肝移植.据统计,SLT可增加15％～ 28％的供肝数量,已成为解决供肝短缺的主要手术方式之一[2].目前在欧美,成人SLT例数占肝移植总例数的10％,儿童SLT例数占肝移植总例数最高达40％,术后受体和移植物的存活率已经可与全肝移植(WLT)相媲美[3].

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