Clinical application of piggyback liver transplantation and modified surgery
10.3760/cma.j.issn.1673-9752.2019.04.004
- VernacularTitle:背驮式肝移植及其改良技术的临床应用
- Author:
Qifa YE
1
;
Yingzi MING
;
Ke CHENG
;
Yujun ZHAO
;
Shaojun YE
;
Zhen FU
Author Information
1. 武汉大学中南医院武汉大学肝胆疾病研究院武汉大学移植医学中心移植医学技术湖北省重点实验室 430071;中南大学湘雅三医院卫生部移植医学工程技术研究中心
- Keywords:
Liver diseases;
Liver transplantation;
Orthotopic liver transplantation;
Piggyback live transplantation;
Ameliorated piggyback liver transplantation;
Clinical application
- From:
Chinese Journal of Digestive Surgery
2019;18(4):311-315
- CountryChina
- Language:Chinese
-
Abstract:
Orthotopic liver transplantation (OLT) was first implemented by Starzl in 1963.With the development of liver transplantation,Tzaris was the first to report piggyback liver transplantation (PBLT) in 1989.The fundamental difference between OLT and PBLT:end to end vascular anastomosis between the donor and recipient is performed after diseased liver resection with the posthepatic inferior vena cava in OLT,while PBLT is to preserve the recipient's hepatic vein and end to end vascular anastomosis between interior vena cava of donor and shaped hepatic vein is performed.However in the clinical practice,the above two techniques cannot meet the needs of clinical liver transplantation technology.Since 1993 the author has implemented a series of improvements in liver transplantation technology based on PBLT and performed ameliorated piggyback liver transplantation (APBLT).This article focuses on the technical characteristics and clinical application of APBLT.
