Surgical technical innovations in pediatric liver transplantation
10.3969/j.issn.1674-7445.2022.03.003
- VernacularTitle:儿童肝移植的手术技术革新
- Author:
Wei GAO
1
Author Information
1. Department of Pediatric Organ Transplantation, Tianjin First Central Hospital, Key Laboratory of Organ Transplantation of Tianjin, Tianjin 300192, China
- Publication Type:Research Article
- Keywords:
Pediatric liver transplantation;
Split liver transplantation;
Graft to recipient weight ratio;
Auxiliary liver transplantation;
Domino liver transplantation;
Microsurgery;
Minimally invasive surgery;
Da Vinci surgical system
- From:
Organ Transplantation
2022;13(3):296-
- CountryChina
- Language:Chinese
-
Abstract:
In recent decade, pediatric liver transplantation has developed rapidly in China due to the improvement of surgical techniques and postoperative management, which has been applied from several domestic liver transplantation centers to more than 10 provinces, cities and autonomous regions. The annual quantity of pediatric liver transplantation has exceeded 1 000 for 3 consecutive years, ranking first across the world. The technique of pediatric liver transplantation has been gradually oriented to precision medicine. The development of pediatric liver transplantation mainly focuses on the "grafts". In this article, the development characteristics and trends of pediatric liver transplantation were elucidated from the perspectives of different types of liver transplantation that expanded the source of donor liver, including split liver transplantation, auxiliary liver transplantation, Domino liver transplantation and liver transplantation with hyper-reduced grafts, as well as the application of minimally invasive surgical and microsurgical anastomosis techniques in pediatric liver transplantation, which represented by laparoscopic surgery and Da Vinci surgical system, aiming to provide reference for further improving the long-term survival rate of grafts and the quality of life of the recipients.
