华西双供体肝脏移植专家共识  

Expert consensus on dual-graft liver transplantation in West China Hospital

作　　者：吕涛[1,2] 徐岗 徐西 杨俭[1,2] 宋九林 汪守平 伊力亚尔·艾尔肯 孔凌祥 袁京生 文天夫[2,3] 严律南[1,2] 吴泓[1,2] 杨家印[1,2] LÜTao;XU Gang;XU Xi;YANG Jian;SONG Jiulin;WANG Shouping;Yilyaer Aierken;KONG Lingxiang;YUAN Jingsheng;WEN Tianfu;YAN Lünan;WU Hong;YANG Jiayin(Liver Transplant Center,Transplant Center,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;Department of General Surgery,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;Division of Liver Sugery,Department of General Surgery,West China Hospital,Sichuan University,Chengdu 610041,P.R.China)

机构地区：[1]四川大学华西医院器官移植中心,肝移植中心,成都610041 [2]四川大学华西医院普外科,成都610041 [3]四川大学华西医院普外科肝脏外科病房,成都610041

出　　处：《中国普外基础与临床杂志》2024年第4期385-388,共4页Chinese Journal of Bases and Clinics In General Surgery

基　　金：国家重点研发计划项目(项目编号:2022YFC2304705);国家自然科学基金面上项目(项目编号:82070674、82270691);四川省科技厅重点研发项目(项目编号:2023YFS0026);成都市科技局重点研发支撑计划(项目编号:2022YF0900009SN)。

摘　　要：活体肝脏移植是目前解决器官供需矛盾的主要手段之一。但是若移植物体积不足可能会导致受者出现小肝综合征,然而若移植物捐献体积过大则可能发生供体术后肝衰竭等风险,于是双供体肝脏移植在此背景下应运而生。双供体肝脏移植能够最大限度地减少每份供体肝脏切除体积来保证供体安全,同时又能为受体提供足够量体积的肝脏,但是该项术式在我国开展较少。为了促进双供体肝脏移植在我国顺利推广,将它作为供体来源的重要补充手段之一,四川大学华西医院组织相关专家并结合国际移植先进国家的成熟经验,围绕供体评估与选择、手术方式、术后并发症等方面制定了本项共识。Living donor liver transplantation is one of the main solutions to the organ supply-demand discrepancy at present.However,there was a risk of the recipient developing small-for-size syndrome due to insufficient graft volume,while an excessively large graft volume for donation might lead to postoperative liver failure for the donor.In this context,the dual-graft liver transplantation had emerged,which could minimize the volume of liver resection from the each donor to ensure the donor's safety and provide the adequate volume of liver for the recipient.Yet,this procedure is less commonly performed in our country.In order to promote the steady implementation of dual-graft liver transplantation in China and serve as an important supplement to the donor pool,the West China Hospital of Sichuan University organized relevant experts and draw on the mature experiences of advanced countries in the field of transplantation jointly formulated the“Expert consensus on dual-graft liver transplantation”.The consensus had been developed around aspects such as donor evaluation and selection,surgical methods,and postoperative complications.

关 键 词：双供体肝脏移植 活体器官捐献 公民逝世后器官捐献 

分 类 号：R657.3[医药卫生—外科学]