The role of adult living donor liver transplantation and recent advances

被引:7
作者
Lauterio, Andrea [1 ]
Di Sandro, Stefano [1 ,2 ]
Giacomoni, Alessandro [1 ]
De Carlis, Luciano [1 ]
机构
[1] Osped Niguarda Ca Granda, Dept Surg & Abdominal Transplantat, Transplant Ctr, Milan, Italy
[2] Univ Pavia, I-27100 Pavia, Italy
关键词
biliary complications; donor mortality; donor outcomes; donor safety; graft size; HCC; liver transplantation; living donor; recent advances; robotic liver surgery; MIDDLE HEPATIC VEIN; RIGHT LOBE GRAFT; HEPATOCELLULAR-CARCINOMA RECURRENCE; SINGLE-CENTER ANALYSIS; TO-DUCT ANASTOMOSIS; FOR-SIZE GRAFTS; BILIARY COMPLICATIONS; ENDOSCOPIC MANAGEMENT; RIGHT HEPATECTOMY; LAPAROSCOPIC APPROACH;
D O I
10.1586/17474124.2015.967762
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Twenty years since the first cases were described, adult living donor liver transplantation (ALDLT) is now considered a valid option to expand the donor pool in view of the ongoing shortage of organs and the high waiting list mortality rate. Despite the rapid evolution and acceptance of this complex process of donation and transplantation in clinical practice, the indications, outcome, ethical considerations and quality and safety aspects continue to evolve based on new data from large cohort studies. This article reviews the surgical and clinical advances in the field of liver transplantation, focusing on technical refinements and discussing the issues that may lead to a further expansion of this complex surgical procedure and the role of ALDLT.
引用
收藏
页码:431 / 445
页数:15
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