摘要
随着成人肝移植技术的日益成熟,儿童肝移植正在国内各大肝移植中心逐渐兴起。儿童肝移植在受者选择、技术细节、围手术期管理、术后治疗和随访等多方面与成人肝移植不尽相同,需要多学科合作来不断提高儿童肝移植的疗效。本文从受者选择和肝外器官功能评估、把握不同术式的技术要点、提高术后随访质量、制定临床诊疗策略等方面,评述多学科合作对实现儿童肝移植最佳疗效的重大意义。
With the maturity of the technique of adult liver transplantation,pediatric liver transplantation has been gradually emerging in major liver transplantation centers throughout China.Pediatric liver transplantation differs from adult liver transplantation in terms of recipient selection,technical details,perioperative management,postoperative treatment and follow-up,etc.Multidisciplinary cooperation is required to continuously improve the clinical efficacy of pediatric liver transplantation.In this article,we reviewed the significance of multidisciplinary cooperation in achieving the optimal clinical efficacy of pediatric liver transplantation,in respect to the recipient selection and extrahepatic organ function evaluation,mastering the technical key points of different types,improving the quality of postoperative followup,and formulating clinical diagnosis and treatment strategies,etc.
作者
易述红
杨扬
陈规划
Yi Shuhong;Yang Yang;Chen Guihua(Liver Transplantation Center,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China)
出处
《器官移植》
CAS
CSCD
北大核心
2020年第4期431-434,共4页
Organ Transplantation
基金
国家自然科学基金(81600505)
广东省自然科学基金(2016A030313224)
广州市科技惠民专项项目(2014Y2-00200)
中国博士后科学基金资助项目(2019TQ0369)。
关键词
儿童肝移植
多学科合作
受者选择
胆汁淤积性疾病
遗传代谢性疾病
劈离式肝移植
围手术期管理
Pediatric liver transplantation
Multidisciplinary cooperation
Recipient selection
Cholestasis disease
Genetic metabolic disease
Split liver transplantation
Perioperative management
