2.Indications of liver transplantation.
Chinese Journal of Hepatology 2004;12(6):371-371
7.Management of liver transplantation perioperative period in acute-on-chronic liver failure.
Bo QI ; Li Qun YANG ; He Xin YAN ; Wei Feng YU
Chinese Journal of Hepatology 2023;31(6):564-568
Acute-on-chronic liver failure (ACLF) is a potentially reversible entity that occurs in patients with chronic liver disease accompanied with or without cirrhosis and is characterized by extrahepatic organ failure and high short-term mortality. Currently, the most effective treatment method for patients with ACLF is liver transplantation; therefore, admission timing and contraindications must be emphasized. The function of vital organs such as the heart, brain, lungs, and kidneys should be actively supported and protected during the liver transplantation perioperative period in patients with ACLF. Focusing on the anesthesia management level during anesthesia selection, intraoperative monitoring, three-stage management, prevention and treatment of post-perfusion syndrome, monitoring and management of coagulation function, volume monitoring and management, and body temperature monitoring management for liver transplantation should strengthen anesthesia management. Additionally, standard postoperative intensive care treatment should be recommended, and grafts and other vital organ functions should be monitored throughout the perioperative period to promote early postoperative recovery in patients with ACLF.
Humans
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Liver Transplantation
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Acute-On-Chronic Liver Failure/surgery*
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Liver Cirrhosis/complications*
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Perioperative Period
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Prognosis
10.Current status of laparoscopic liver resection for hepatocellular carcinoma.
Hanisah GURO ; Jai Young CHO ; Ho Seong HAN ; Yoo Seok YOON ; YoungRok CHOI ; Mohan PERIYASAMY
Clinical and Molecular Hepatology 2016;22(2):212-218
Laparoscopic liver resection (LLR) is becoming widely accepted for the treatment of hepatocellular carcinoma (HCC). Laparoscopic left lateral sectionectomy and minor laparoscopic liver resection are now considered standard approaches, especially for tumors located in the anterolateral segments of the liver. Laparoscopic left lateral sectionectomy in adult donors is also gaining acceptance for child liver transplantation in many centers. Major LLRs, including left hepatectomy and right hepatectomy, have been recently attempted. Laparoscopic donor hepatectomy is becoming more popular owing to increasing demand from young living donors who appreciate its minimal invasiveness and excellent cosmetic outcomes. Several centers have performed total laparoscopic donor right hepatectomy in adult-to-adult living donor liver transplantation. Many meta-analyses have shown that LLR is better than open liver resection in terms of short-term outcomes, principally cosmetic outcomes. Although no randomized control trials have compared LLR with open liver resection, the long-term oncologic outcomes were similar for both procedures in recent case-matched studies.
Carcinoma, Hepatocellular/complications/pathology/*surgery
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Humans
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Laparoscopy
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Liver Cirrhosis/complications
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Liver Neoplasms/pathology/*surgery
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Neoplasm Recurrence, Local
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Prognosis