Liver paired exchange: Can the liver emulate the kidney?

被引:23
作者
Mishra, Ashish [1 ]
Lo, Alexis [2 ]
Lee, Grace S. [1 ,3 ]
Samstein, Benjamin [6 ]
Yoo, Peter S. [7 ]
Levine, Matthew H. [1 ]
Goldberg, David S. [4 ,5 ]
Shaked, Abraham [1 ]
Olthoff, Kim M. [1 ]
Abt, Peter L. [1 ]
机构
[1] Hosp Univ Penn, Dept Surg, Div Transplant, 3400 Spruce St, Philadelphia, PA 19104 USA
[2] Temple Univ, Sch Med, Philadelphia, PA 19122 USA
[3] Univ Penn, Perelman Sch Med, Dept Med Eth & Hlth Policy, Philadelphia, PA 19104 USA
[4] Univ Penn, Dept Med, Perelman Sch Med, Div Gastroenterol, Philadelphia, PA 19104 USA
[5] Univ Penn, Perelman Sch Med, Dept Biostat & Epidemiol, Ctr Clin Epidemiol & Biostat, Philadelphia, PA 19104 USA
[6] Weill Cornell Med Coll, Dept Surg, Div Liver Transplantat & Hepatobiliary Surg, New York, NY USA
[7] Yale Univ, Sch Med, Dept Surg, New Haven, CT 06510 USA
关键词
FOR-SIZE GRAFTS; LIVING DONORS; HEPATOCELLULAR-CARCINOMA; ETHICAL CONSIDERATIONS; ADULT PATIENTS; TRANSPLANTATION; DONATION; COMPLICATIONS; EXPERIENCE; RECIPIENT;
D O I
10.1002/lt.25030
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Kidney paired exchange (KPE) constitutes 12% of all living donor kidney transplantations (LDKTs) in the United States. The success of KPE programs has prompted many in the liver transplant community to consider the possibility of liver paired exchange (LPE). Though the idea seems promising, the application has been limited to a handful of centers in Asia. In this article, we consider the indications, logistical issues, and ethics for establishing a LPE program in the United States with reference to the principles and advances developed from experience with KPE. Liver Transplantation 24 677-686 2018 AASLD.
引用
收藏
页码:677 / 686
页数:10
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