《2025年美国肝病学会/美国移植学会成人肝移植临床实践指南:候选者评估》摘译
DOI: 10.12449/JCH260507
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作者贡献声明:李照负责文章翻译;朱继业负责文章审校。
An excerpt of 2025 AASLD/AST practice guideline on adult liver transplantation: Candidate evaluation
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摘要: 美国肝病学会与美国移植学会于2025年12月联合发布了最新版成人肝移植候选者评估指南,内容涵盖肝移植转诊、移植评估、肝移植禁忌证、特殊情况(如活体肝移植)等4个部分,旨在为临床提供一套标准化的评估框架。新版指南基于最新循证医学证据对2013版指南进行了更新,并增加了对肝内胆管癌、结直肠癌肝转移等新兴移植适应证的讨论,强调移植评估必须个体化,且评估流程必须具备透明性和一致性。本文对指南中的推荐意见进行摘译,以供读者参考。Abstract: In December 2025, the American Association for the Study of Liver Diseases (AASLD) and the American Society of Transplantation (AST) jointly issued an updated guideline on the evaluation of adult liver transplant candidates. The guideline is organized into four domains, i.e., referral for liver transplantation, candidate evaluation, contraindications to liver transplantation, and special considerations (e.g., living donor liver transplantation), in order to provide a standardized framework for clinical assessment. This new guideline updates the 2013 edition based on the latest evidence-based medical evidence and incorporates discussions on emerging indications for liver transplantation, including intrahepatic cholangiocarcinoma and colorectal liver metastases. This guideline emphasizes that candidate assessment must be individualized, and the assessment process must be transparent and consistent. This article gives an excerpt of the key recommendations in this guideline for readers’ reference.
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Key words:
- Liver Transplantation /
- Candidate Evaluation /
- United States /
- Practice Guideline
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[1] DOVE L, CHADHA RM, LAI JC, et al. AASLD AST practice guideline on adult liver transplantation: Candidate evaluation[J]. Hepatology, 2025. DOI: 10.1097/HEP.0000000000001644.[ Epub ahead of print] -
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