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[Surgical techniques in liver transplantation].
Carlos Chan1, Juan José Plata-Muñoz, Bernardo Franssen
1Departamento de Cirugía, Programa de Trasplante Hepático del Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México, DF. carchan@quetzal.innsz.mx
Summary
Liver transplantation (LT) is a complex procedure that has become a definitive treatment for end-stage liver disease. Improvements in anesthesia and perioperative care have been key to its success, more than surgical technique changes.
Area of Science:
- Surgical innovation and medical advancements in transplantation medicine.
Context:
- Liver transplantation (LT) has evolved from an experimental procedure to a life-saving treatment for end-stage liver disease.
- Historically, LT was a last resort, but it is now a definitive therapy for acute and chronic liver failure.
Purpose:
- To provide an up-to-date overview of the technical aspects of orthotopic liver transplantation.
- To highlight the evolution of liver transplantation techniques and supporting medical care.
Summary:
- The surgical technique for LT, first described by Thomas Starzl in 1969, remains largely unchanged.
- Significant advancements in anesthetic procedures, perioperative care, venous bypass, vascular and biliary reconstruction, and split-liver techniques have improved LT outcomes.
- This article details the current technical aspects of orthotopic liver transplantation.
Impact:
- Enhanced understanding of the technical evolution and current practices in liver transplantation.
- Improved perioperative management and surgical refinements contribute to better patient outcomes in liver transplantation.