No-touch recipient hepatectomy in liver transplantation for liver malignancies: A state-of-the-art review  

作　　者：Sheng-Jun Xu Qiang Wei Xin Hu Chang-Biao Li Zhe Yang Shu-Sen Zheng Xiao Xu 

机构地区：[1]NHC Key Laboratory of Combined Multi-organ Transplantation,Institute of Organ Transplantation,Zhejiang University,Hangzhou 310003,China [2]School of Clinical Medicine,Hangzhou Medical College,Hangzhou 310059,China [3]General Surgery,Cancer Center,Department of Gastrointestinal and Pancreatic Surgery,Zhejiang Provincial People’s Hospital,Affiliated People’s Hospital,Hangzhou Medical College,Hangzhou 310014,China [4]Department of Hepatobiliary and Pancreatic Surgery,Department of Liver Transplantation,Shulan(Hangzhou)Hospital,Zhejiang Shuren University School of Medicine,Hangzhou 310022,China [5]Institute of Translational Medicine,Zhejiang University,Hangzhou 310000,China

出　　处：《Hepatobiliary & Pancreatic Diseases International》2025年第1期39-44,共6页国际肝胆胰疾病杂志(英文版)

基　　金：supported in part by grants from National Nat-ural Science Foundation of China (82200726 and U23A20451);Key Program of the National Natural Science Foundation of China (81930016);National Key Research and Development Program of China (2021YFA1100500)。

摘　　要：Tumor recurrence, the Gordian knot of liver transplantation for malignancies, may be attributed to many parameters. The technique of the “classical” recipient hepatectomy is believed to be one of the potential reasons to cause tumor evasion because of the possible increase of circulating tumor cells, thus leading to an increased recurrent rate. On this background, the no-touch oncological recipient hepatectomy technique has been developed. A comprehensive review of the development and the key surgical steps of the no-touch recipient hepatectomy is presented. This technique might improve clinical outcomes, especially for those recipients who are at a high risk for tumor recurrence. Multicenter prospective studies should be set up to further validate the prognostic role of this technique in patients with liver cancer treated with liver transplantation.

关 键 词：Liver transplantation Hepatocellular cancer Tumor recurrence Surgical technique No-touch recipient hepatectomy Vena cave sparing hepatectomy 

分 类 号：R73[医药卫生—肿瘤]