活体捐赠者肝移植:左叶或右叶
J Michael Cullen1, Kendra D Conzen1, Elizabeth A Pomfret2
1Colorado Center for Transplantation Care, Research and Education (CCTCARE), University of Colorado Anschutz, University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, AOP 7th Fl, C-318, Aurora, CO 80045, USA.
The Surgical clinics of North America
|November 12, 2023
概括
自1988年以来,活体供体肝移植 (LDLT) 已经取得了显著的进步. 本综述涵盖了LDLT中的供体评估,接受者手术,供体解剖学和移植优化.
科学领域:
- 手术创新 在外科创新.
- 移植医学 移植医学
- 肝胆道手术 肝胆道手术
背景情况:
- 自1988年引入以来,活体捐赠者肝移植 (LDLT) 已经发生了很大变化.
- 该程序涉及复杂的手术技术和仔细的患者选择.
- 手术策略的进步改善了捐赠者和接受者的结果.
研究的目的:
- 为提供一个全面的概述 活体捐赠者肝移植 (LDLT).
- 详细介绍捐赠者评估和接受者操作的关键方面.
- 突出在LDLT中供体解剖学和移植优化的重要性.
主要方法:
- 审查LDLT的关键进展和技术.
- 讨论捐赠者评估协议的讨论.
- 分析用于移植准备和植入的外科手术程序.
主要成果:
- LDLT需要仔细的供体评估,以确保安全性和移植合适性.
- 了解捐赠者的肝脏解剖学对于选择最佳移植来说至关重要.
- 移植优化技术可以提高移植肝脏的活力和功能.
结论:
- 活体供体肝移植是一种复杂但越来越成功的手术.
- 仔细的供体选择,解剖学考虑和移植优化对于成功的LDLT结果至关重要.
- 持续的LDLT技术的进步有望进一步改善患者的生存率和生活质量.
相关概念视频
Kidney Transplant I: Introduction
14
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
14
Gross Anatomy of the Liver
474
The liver, the largest gland within the human body, is a firm and reddish-brown organ. This wedge-shaped structure weighs approximately 1.5 kg and occupies a significant portion of the right hypochondriac and epigastric regions. It extends more to the right of the body's midline than to the left.
Located under the diaphragm, the liver is almost entirely ensconced within the rib cage, providing it with substantial protection. Except for the superior most bare area, the liver's surface is...
Located under the diaphragm, the liver is almost entirely ensconced within the rib cage, providing it with substantial protection. Except for the superior most bare area, the liver's surface is...
474
Kidney Transplant II: Surgical Procedure
20
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
20


