Clinical progress of diagnostic and evaluation criteria for liver transplantation in patients with severe liver disease
10.3969/j.issn.1674-7445.2020.03.002
- VernacularTitle:危重症肝病肝移植患者诊断和评估标准的临床进展
- Author:
Yanan JIA
1
;
Han LI
;
Xianliang LI
;
Qiang HE
Author Information
1. Department of Hepatobiliary-pancreatic-splenic Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
- Publication Type:Research Article
- Keywords:
Severe liver disease;
Liver failure;
Scoring system;
Liver transplantation;
Diagnostic criteria;
Evaluation criteria;
Child-Turcotte-Pugh (CTP) score;
Model for end-stage liver disease (MELD) score
- From:
Organ Transplantation
2020;11(3):326-
- CountryChina
- Language:Chinese
-
Abstract:
Liver transplantation, although recognized as the only effective radical treatment for severe liver disease, might be accompanied by high surgical risks, high perioperative mortality and high postoperative complications. Considering the shortage of donor liver and related surgical risks, it is necessary to strictly control the indication of operation and the opportunity of transplantation. Therefore, accurate diagnosis and comprehensive evaluation of the condition of patients with severe liver disease to be treated by liver transplantation is an important part in determining the treatment plan. At present, there are many evaluation criteria for severe liver disease. In addition to the classic ChildTurcotte-Pugh (CTP) score and model for end-stage liver disease (MELD) score, many other evaluation criteria have also been developed. All transplant centers have their own choices and thus there is no uniform diagnostic criterion, with disputes among various criteria, which is exactly what this paper aims to summarize.
