Perioperative management of split liver transplantation
10.3969/j.issn.1674-7445.2022.05.005
- VernacularTitle:劈离式肝移植围手术期管理
- Author:
Chuan LI
1
;
Yanhua LAI
Author Information
1. Guangxi Academy of Medical Sciences, Department of Transplantation, the People's Hospital of Guangxi Zhuang Autonomous Region, Guangxi Key Laboratory of Prevention and Treatment of Portal Hypertension, Nanning 530021, China
- Publication Type:Research Article
- Keywords:
Split liver transplantation;
Perioperative management;
Infection;
Coagulation function;
Nutrition support;
Vascular complication;
Biliary complication;
Small-for-size syndrome
- From:
Organ Transplantation
2022;13(5):577-
- CountryChina
- Language:Chinese
-
Abstract:
In the context of shortage of donor livers, split liver transplantation has achieved the goal of "one donor liver for two recipients", which effectively alleviates the shortage of donor livers and has promising development prospect. With the advancement of liver transplant techniques, split liver transplantation may yield clinical prognosis equivalent to total liver transplantation. However, perioperative management of split liver transplantation still encounters multiple challenges, with demanding techniques requirement and high-risk postoperative complications. Besides, there is a possibility of dividing one high-quality donor liver into two marginal donor livers, which will affect the development of liver transplantation. In this article, perioperative management of split liver transplantation was discussed from the perspectives of preoperative evaluation, recipient management and postoperative complication management, aiming to provide reference for promoting the development of split liver transplantation and enhancing clinical prognosis of recipients after split liver transplantation.
