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Particular Chinese contributions to extracorporeal liver surgery.
Abudusalamu Aini1, Qian Lu1, Hao Wen2
1Hepatopancreatobiliary Center, Organ Transplantation Center, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing 102218, China; Key Laboratory of Digital Intelligence Hepatology (Chinese Ministry of Education), School of Clinical Medicine, Tsinghua University, Beijing 100084, China; Research Unit of Precision Hepatobiliary Surgery Paradigm, Chinese Academy of Medical Sciences, Beijing 100010, China; Institute for Organ Transplantation and Bionics, Institute for Precision Medicine, School of Clinical Medicine, Tsinghua University, Beijing 100010, China.
Extracorporeal liver surgery (ELS), or liver autotransplantation, is a complex procedure increasingly adopted globally. Chinese surgical innovations have significantly advanced ELS, improving outcomes for complex liver diseases.
Area of Science:
- Hepatobiliary Surgery
- Transplant Surgery
- Surgical Innovation
Background:
- Extracorporeal liver surgery (ELS), also known as liver autotransplantation, combines techniques from extreme and transplant liver surgeries.
- ELS has gained prominence in leading surgical centers worldwide.
- Chinese surgeons and researchers have been instrumental in ELS development over 37 years.
Purpose of the Study:
- To review Chinese contributions to Extracorporeal Liver Surgery (ELS).
- To highlight advancements in ELS techniques, disease selection, and patient outcomes.
- To discuss the future perspectives of ELS.
Main Methods:
- Review of ELS development and Chinese contributions.
- Categorization of ELS into ex-situ (ELRA), ante-situm (ALRA), and auxiliary partial (APLA) types.
- Focus on precision liver surgery paradigm's impact.
Main Results:
- The precision liver surgery paradigm has modularized and standardized ELS.
- ELS advancements have improved surgical skills, peri-operative outcomes, and long-term survival.
- ELS enables the management of more complex liver diseases and expands healthcare access.
Conclusions:
- Chinese innovations have significantly advanced Extracorporeal Liver Surgery.
- ELS has become a more accessible and effective treatment for complex liver conditions.
- Continued development in ELS promises further improvements in patient care and surgical capabilities.
