Split-liver transplantation: An underused resource in liver transplantation

被引:17
作者
Rogiers, Xavier [1 ,2 ]
Sieders, Egbert [3 ]
机构
[1] Ghent Univ Hosp, Sch Med, Transplantat Ctr, B-9000 Ghent, Belgium
[2] Ghent Univ Hosp, Sch Med, Dept Gen & Hepatobiliary Srug, B-9000 Ghent, Belgium
[3] Univ Groningen, Univ Med Ctr Groningen, Dept Hepatobiliary Surg & Liver Transplantat, NL-9713 AV Groningen, Netherlands
关键词
split; liver; transplantation;
D O I
10.1097/TP.0b013e3181812f03
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Split-liver transplantation is an efficient tool to increase the number of liver grafts available for transplantation. More than 15 years after its introduction only the classical splitting technique has reached broad application. Consequently children are benefiting most from this possibility. Full-right full-left splitting for two adult recipients has been shown to work but is hampered mainly by the dangers of small-for-size transplantation. A Solution to this last problem would completely change the scope of split-liver transplantation. Organ allocation systems and collaboration between centers play a crucial role in the chances to let Suitable patients profit from this valuable source of extra grafts.
引用
收藏
页码:493 / 499
页数:7
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