腹腔镜活体供肝切取术的临床现状  

Clinical status of laparoscopic living donor liver resection

作　　者：伊力扎提·阿扎提 吐尔洪江·吐逊 Yilizhati·Azatiti;Tuerhongjiang·Tuxun(Department of Digestive and Vascular Surgery Center,Laparoscopic Liver Surgery,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院消化血管外科中心肝脏·腹腔镜外科,乌鲁木齐830054

出　　处：《中华肝脏外科手术学电子杂志》2025年第1期30-35,共6页Chinese Journal of Hepatic Surgery(Electronic Edition)

基　　金：国家自然科学基金(82270632,82260411)。

摘　　要：活体肝移植是肝移植的常见形式之一,在供体稀缺的国家中,其能有效缓解供肝短缺的问题,降低患者等待肝移植期间的病死率。近年来,随着微创肝脏外科的发展,腹腔镜技术在活体肝移植领域的应用越来越广泛,因其手术创伤小、术后疼痛轻、恢复快及供体心理负担小等优点,迅速成为肝移植领域的研究热点之一。腹腔镜活体供肝左外叶切除术已成为儿童活体供肝切取的标准术式。而腹腔镜活体供肝左半肝及右半肝切取术仍处于发展阶段,其可行性和安全性尚未得到充分评估。本文将深入探讨腹腔镜活体供肝切取术的发展历程、手术类型及面临的问题与挑战,并展望其未来的发展趋势,旨在推进腹腔镜活体供肝切取术的发展和完善。Living donor liver transplantation is one of common patterns of liver transplantation.In countries where donors are scarce,it can effectively alleviate the shortage of donor livers and lower the mortality of patients awaiting liver transplantation.In recent years,with the development of minimally invasive liver surgery,laparoscopic technology has been widely employed in the field of living donor liver transplantation.Due to slight surgical trauma,mild postoperative pain,rapid recovery and slight donors'mental burden,it has rapidly become one of the research hotspots in the field of liver transplantation.Laparoscopic left lateral hepatic lobectomy of living donor liver has become the standard procedure for living donor liver resection in children.However,laparoscopic left and right hepatectomy of living donor liver remains in the development stage,and the feasibility and safety have not been fully evaluated.In this article,the development,surgical types,problems and challenges of laparoscopic living donor liver resection were discussed,and the development trend in the future was predicted,aiming to accelerate the development and improvement of laparoscopic living donor liver resection.

关 键 词：活体肝移植 微创 腹腔镜 供肝切取术 

分 类 号：R65[医药卫生—外科学]