Clinical applications and surgical pathways of auto liver transplantation
10.3760/cma.j.issn.1007-8118.2015.02.001
- VernacularTitle:自体肝移植手术技术与规范探讨
- Author:
Qifa YE
;
Xian LI
;
Yingzi MING
;
Guizhu PENG
;
Ke CHENG
;
Yanfeng WANG
- Publication Type:Journal Article
- Keywords:
Auto liver transplantation;
Skill;
Surgical pathway;
Normalization
- From:
Chinese Journal of Hepatobiliary Surgery
2015;21(2):73-75
- CountryChina
- Language:Chinese
-
Abstract:
Auto liver transplantation (ALT) has been tremendously popular in hepatic surgery for the liver masses due to lack of enough donor for allogeneic transplantation of liver.But ALT remains stagnant because it is technically more difficult than liver transplantation.Much difficulties in this field lying ahead.Related surgical technical requirements for surgeons operating ALT,complications,difficult liver resection,hypothermic liver perfusion,veno-venous bypass,ex vivo ECMO perfusion and liver trim,assess the quality and volume of autoplast,autoplast implant and vascular anastomosis.On the other hand,the therapeutic effect largely depends on the intraoperative vascular separating range,the location and size of the tumor,the scope of lymphoid infiltrates by neoplast,the intubation site for perfusion and the sequence of opening the occlusion vessel.Thus,it's necessary to set up a scientific,normative ALT procedure to improve the therapeutic effect and prognosis.