中国儿童肝移植的现状与挑战  

The current status and challenges of pediatric liver transplantation in China

作　　者：夏强[1] 封明轩[1] Xia Qiang;Feng Mingxuan(Department of Liver Surgery,Renji Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属仁济医院肝脏外科,上海200127

出　　处：《中华消化外科杂志》2024年第1期49-54,共6页Chinese Journal of Digestive Surgery

基　　金：上海市“科技创新能力计划”医学创新研究专项(22Y21900400)。

摘　　要：历经20余年的发展,儿童肝移植在我国已成为一种常规外科技术,目前年手术量已经位列世界第一。进一步提升肝移植技术水平、提高术后管理工作使肝移植患儿回归正常社会生活是学界需要面对的挑战。当代医学在精准外科、微创技术、大数据信息互联以及人工智能领域的发展也带给研究者新的机遇。笔者从中国儿童肝移植适应证、手术技术、术后管理体系、免疫抑制和免疫耐受、社会人文和伦理5个方面开展深入讨论,以期推动我国儿童肝移植相关领域的发展。After more than 20 years of development,pediatric liver transplantation has become a routine surgical practice in China,and currently ranks first in the world in terms of surgery quantity yearly.Further improving of liver transplantation technique and enhancing postoperative management to enable pediatric liver transplantation patients to return to normal social life are challenges for the academic community.The development of precision surgery,minimally invasive technology,big data information interconnection,and artificial intelli-gence has also brought new opportunities to researchers.The authors discuss the indications,surgical techniques,postoperative management system,immune suppression and tolerance,social humanities and ethics of pediatric liver transplantation in China,in order to promote the development of related fields of pediatric liver transplantation in China.

关 键 词：肝移植 儿童 现状 挑战 机遇 

分 类 号：R726.5[医药卫生—儿科]