亚太地区肝脏研究协会关于肝脏移植的临床实践指南
Dong-Sik Kim1, Young-In Yoon2, Beom Kyung Kim3
1Department of Surgery, Korea University College of Medicine, Seoul, Republic of Korea.
Hepatology international
|February 28, 2024
概括
活体供体肝移植在亚太地区至关重要,因为已故器官捐献有限. 新的区域指导方针为活体和已故供体肝移植提供了基于证据的管理.
科学领域:
- 肝病学和移植外科手术
- 临床医学 临床医学
- 公共卫生政策 公共卫生政策
背景情况:
- 肝移植是一种复杂的手术,在亚洲国家取得了重大进展,特别是活体供体肝移植 (LDLT).
- 在亚太地区,已故器官捐献者的稀缺性使得LDLT成为许多患者的主要或唯一的选择.
- 这种临床现实需要特定区域的指导方针,以应对亚太地区肝移植的独特挑战和做法.
研究的目的:
- 为亚太地区量身定制的肝移植制定全面的,基于证据的指导方针.
- 解决该地区死者供体肝移植 (DDLT) 和LDLT的独特挑战和实践.
- 提供一个统一的框架来管理亚洲不同医疗机构的肝移植患者.
主要方法:
- 来自亚太地区不同国家的医疗专业人员的合作努力.
- 审查和综合现有证据和肝移植的区域经验.
- 制定基于共识的关于术后护理,外科手术技术和移植后管理的建议.
主要成果:
- 发布肝移植的特定区域指导方针,包括DDLT和LDLT.
- 包括多样化的观点,反映亚太地区多样化的临床实践和资源可用性.
- 建立一个标准化的方法,以改善该地区肝移植接受者的结果.
结论:
- 制定的指导方针为亚太地区的肝移植提供了基本的,基于证据的建议.
- 这些指导方针以区域合作专业知识为基础,旨在提高肝移植护理的质量和可访问性.
- 预计这些指南的实施将改善患者的治疗结果,并规范亚洲肝移植的最佳实践.
相关概念视频
Kidney Transplant I: Introduction
850
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...
850
Kidney Transplant II: Surgical Procedure
956
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...
956


