Chinese guidelines for minimally invasive donor hepatectomy in living donor liver transplantation(2024 edition)  

作　　者：Xi Xu Tao Lv Gang Xu Qiang Wei Qi Ling Lin Wei Jianhua Li Jiakai Zhang Yang Cai Jinzhen Cai Guihua Chen Zhishui Chen Zhonghua Chen Ying Cheng Jian Dou Shunda Du Chengyou Du Zhiren Fu Zhiyong Guo Lianghui Gao Xiaoshun He Qiang He Lei Huang Jianzhao Huang Feng Huo Changku Jia Chen Jin Wentao Jiang Jipin Jiang Zuoyi Jiao Hong-En Jing Ren Lang Bo Li Li Li Ning Li Qiyong Li Wengang Li Yumin Li Guangming Li Jun Liu Lei Liu Jingfeng Liu Lianxin Liu Zuojin Liu Shichun Lu Qian Lu Ling Lv Yi Lv Guoyue Lv Tingbo Liang Yingzi Ming Zhihai Peng Jianghua Ran Jun Shi Beicheng Sun Chengyi Sun Xuyong Sun Yuling Sun Zhongzhou Si Yingmei Shao Jiulin Song Kaishan Tao Mujian Teng Yunle Wan Xueshuai Wan Liming Wang Hao Wen Gang Wu Jian Wu Xiangwei Wu Zhongjun Wu Lai Wei Jian Xu Jun Xu Yang Yang Hongji Yang Zhanyu Yang Zhaoxu Yang Jian Yang Qifa Ye Shuhong Yi Jian Zhou Feng Zhang Lei Zhang Min Zhang Wu Zhang Leida Zhang Shuijun Zhang Shunyun Zhao Hong Zheng Lin Zhong Haitao Zhu Jiye Zhu Xiaofeng Zhu Zhijun Zhu Hong Wu Wenzhi Guo Zhengxin Wang Xiao Xu Jiayin Yang Branch of Organ Transplant Physicians of Chinese Medical Doctor Association Branch of Organ Transplant of Chinese Medical Association 

机构地区：[1]Liver Transplant Center,Department of General Surgery,West China Hospital of Sichuan University,Chengdu,China [2]Laboratory of Liver Transplantation,Frontiers Science Center for Disease-Related Molecular Network,West China Hospital of Sichuan University,Chengdu,China [3]Zhejiang University School of Medicine,Hangzhou,China [4]Department of Hepatobiliary and Pancreatic Surgery,The First Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou,China [5]Liver Transplantation Center,National Clinical Research Center for Digestive Diseases,Beijing Friendship Hospital,Capital Medical University,Beijing,China [6]Liver Transplantation Center,Department of General Surgery,Huashan Hospital,Fudan University,Shanghai,China [7]Department of Hepatobiliary and Pancreatic Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou,China [8]Department of Hepatobiliary and Pancreatic Surgery,Affiliated Hangzhou First People’s Hospital,School of Medicine,Westlake University,Hangzhou,China [9]Organ Transplantation Center,Affiliated Hospital of Qingdao University,Qingdao,China [10]Department of Hepatic Surgery and Liver Transplantation Center of The Third Affiliated Hospital,Organ Transplantation Institute,Sun Yat-sen University,Guangzhou,China [11]Institute of Organ Transplantation,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,China [12]Department of Transplantation and General Surgery,First Hospital of China Medical University,Shenyang,China [13]Department of Hepatobiliary Surgery,Hebei Medical University Third Hospital,Shijiazhuang,China [14]Department of Liver Surgery,Peking Union Medical College Hospital,Peking Union Medical College and Chinese Academy of Medical Sciences,Beijing,China [15]Department of Hepatobiliary Surgery,The First Affiliated Hospital of Chongqing Medical University,Chongqing,China [16]Department of General Surgery,Ruijin Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai,China [17]Organ Transplant Centre,The First Aff

出　　处：《Hepatobiliary Surgery and Nutrition》2024年第6期919-936,共18页肝胆外科与营养(英文)

基　　金：supported by grants from National Key R&D Program of China(No.2022YFC2304705 to Jiayin Yang);National Natural Science Foundation of China(No.82270691 to Jiayin Yang);Sichuan Province Key Research and Development Project(Nos.2023YFS0026 and 23ZDYF2182 to Jiayin Yang);Chengdu Province Key Research and Development Project(No.2022YF0900009SN to Jiayin Yang);1.3.5 Project for Disciplines of Excellence from West China Hospital of Sichuan University(No.ZYGD24002 to Jiayin Yang).

摘　　要：Background:Minimally invasive surgeries are increasingly central to modern medicine,particularly in liver transplantation.These techniques,which offer reduced trauma,precise operations,minimal bleeding,and swift recovery,are,however,unevenly adopted across China.Only a limited number of centers routinely perform minimally invasive donor hepatectomies,indicating a significant imbalance in the development and application of these advanced procedures.Additionally,there lacks a set of standardized guidelines that are tailored to meet China’s unique healthcare challenges and conditions.Methods:In August 2023,the Branch of Organ Transplant of Chinese Medical Association and the Branch of Organ Transplant Physicians of Chinese Medical Doctor Association convened a group of national liver transplantation experts to establish a guideline development committee.This committee conducted a thorough review of relevant literature,evaluated existing guidelines and consensus,and assessed factors such as the evidence base,patient preferences,and the cost-effectiveness of interventions within China.After multiple rounds of discussions,both online and offline,the committee finalized the guidelines.Results:This collaborative effort led to the creation of the“Chinese guidelines for minimally invasive donor hepatectomy in living donor liver transplantation(2024 edition)”.These guidelines address crucial aspects such as the safety and advantages of minimally invasive surgery for living donor liver transplantation,donor selection criteria,anesthesia strategies,surgical technical details,and learning curves associated with these procedures,resulting in a comprehensive set of 26 recommendations.Conclusions:The formulation of these guidelines represents a significant advancement towards standardizing minimally invasive liver transplantation surgeries in China.They are designed to enhance outcomes for both donors and recipients by synthesizing expert consensus with contemporary research and clinical practices.Moreover,they serve as a c

关 键 词：Living donor liver transplantation DONOR minimally invasive surgery GUIDELINE 

分 类 号：R73[医药卫生—肿瘤]