Chinese guidelines for clinical diagnosis and treatment of small-for-size syndrome after living donor liver transplantation (2016)
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摘要:
<正>随着肝移植相关技术的不断完善和成熟,供肝来源短缺已成为制约肝移植发展最重要的瓶颈。为解决供肝短缺问题,活体肝移植(living donor liver transplantation,LDLT)和劈离式肝移植(split liver transplantation,SLT)应运而生。影响成人LDLT和SLT疗效的主要因素是移植物体积绝对或相对过小,易发生小肝综合征(small-for-size syndrome,SFSS)。
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Key words:
- liver transplantation /
- small-for-size syndrome /
- practice guideline
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[1]KIUCHI T, KASAHARA M, URYUHARA K, et al.Impact of graft size mismatching on graft prognosis in liver transplantation from livingdonors[J].Transplantation, 1999, 67 (2) :321-327. [2] REN ZG, ZHOU L, ZHENG SS.Advances in small-for-size syndrome[J].Chin J Hepatobiliary Surg, 2011, 17 (5) :437-439. (in Chinese) 任志刚, 周琳, 郑树森.小肝综合征 (SFSS) 的研究进展[J].中华肝胆外科杂志, 2011, 17 (5) :437-439. [3]CHEN S, SHI BY.Guidelines for clinical diagnosis (section of organ transplantation) (2010 Edition) [M].Beijing:People's Medical Publishing House, 2010:36-37. (in Chinese) 陈实, 石炳毅.临床诊疗指南 (器官移植学分册) (2010版) [M].北京:人民卫生出版社, 2010:36-37. [4]HEATON N.Small-for-size liver syndrome after auxiliary and split liver transplantation:donor selection[J].Liver Transpl, 2003, 9 (9) :s26-s28. [5]ROLL GR, PAREKH JR, PARKER WF, et al.Left hepatectomy versus right hepatectomy for living donor liver transplantation:shifting the risk from the donor to the recipient[J].Liver Transpl, 2013, 19 (5) :472-481. [6]DUTKOWSKI P, LINECKER M, De OLIVEIRA ML, et al.Challenges to liver transplantation and strategies to improve outcomes[J].Gastroenterology, 2015, 148 (2) :307-323. [7]HUANG JF.Some issues of living donor liver tansplantation in China[J].Natl Med J China, 2009, 89 (22) :1513-1516. (in Chinese) 黄洁夫.我国活体肝移植的若干问题[J].中华医学杂志, 2009, 89 (22) :1513-1516. [8]LO CM, FAN ST, LIU CL, et al.Minimum graft size for successful living donor liver transplantation[J].Transplantation, 1999, 68 (8) :1112-1116. [9]DAHM F, GEORGIEV P, CLAVIEN PA.Small-for-size syndrome after partial liver transplantation:definition, mechanisms of disease and clinical implications[J].Am J Transplant, 2005, 5 (11) :2605-2610. [10]CHAN SC, LO CM, CHOK KS, et al.Validation of graft and standard liver size predictions in right liver living donor liver transplantation[J].Hepatol Int, 2011, 5 (4) :913-917. [11]TANAKA K, YAMADA T.Living donor liver transplantation in Japan and Kyoto University:what can we learn?[J].J Hepatol, 2005, 42 (1) :25-28. [12]JIMNEZ-ROMERO C, CLEMARES-LAMA M, MANRIQUEMUNICIO A, et al.Long-term results using old liver grafts for transplantation:sexagenerian versus liver donors older than 70 years[J].World J Surg, 2013, 37 (9) :2211-2221. [13]NOCITO A, EL-BADRY AM, CLAVIEN PA.When is steatosis too much for transplantation?[J].J Hepatol, 2006, 45 (4) :494-499. [14]SANO K, MAKUUCHI M, MIKI K, et al.Evaluation of hepatic venous congestion:proposed indication criteria for hepatic vein reconstruction[J].Ann Surg, 2002, 236 (2) :241-247. [15]SUGAWARA Y, MAKUUCHI M, TAKAYAMA T, et al.Smallfor-size grafts in living-related liver transplantation[J].J Am Coll Surg, 2001, 192 (4) :510-513. [16]WANG XH, LI GQ.Safety of donors for living donor liver transplantation[J].Chin J Hepatobiliary Surg, 2007, 13 (2) :75-77. (in Chinese) 王学浩, 李国强.活体肝移植供体的安全性[J].中华肝胆外科杂志, 2007, 13 (2) :75-77. [17]WESTERKAMP AC, de BOER MT, van den BERG AP, et al.Similar outcome after transplantation of moderate macrovesicular steatotic and nonsteatotic livers when the cold ischemia time is kept very short[J].Transpl Int, 2015, 28 (3) :319-329. [18]LEE JY, KIM KM, LEE SG, et al.Prevalence and risk factors of non-alcoholic fatty liver disease in potential living liver donors in Korea:a review of 589 consecutive liver biopsies in a single center[J].J Hepatol, 2007, 47 (2) :239-244. [19]SCHOENING W, HELBIG M, BUESCHER N, et al.Eurotransplant donor-risk-index and recipient factors:influence on longterm outcome after liver transplantation-a large single-center experience[J].Clin Transplant, 2016, 30 (5) :508-517. [20]CHU MJ, DARE AJ, PHILLIPS AR, et al.Donor hepatic steatosis and outcome after liver transplantation:a systematic review[J].J Gastrointest Surg, 2015, 19 (9) :1713-1724. [21]CHARLTON MR.Strategies to improve patient and graft survival in the next ten years[J].Liver Transpl, 2016, 22 (S1) :71-78. [22]AMERSI F, FARMER DG, SHAW GD, et al.P-selectin glycoprotein ligand-1 (r PSGL-Ig) -mediated blockade of CD62 selectin molecules protects rat steatotic liver grafts from ischemia/reperfusion injury[J].Am J Transplant, 2002, 2 (7) :600-608. [23]HEIMBACH JK, WATT KD, POTERUCHA JJ, et al.Combined liver transplantation and gastric sleeve resection for patients with medically complicated obesity and end-stage liver disease[J].Am J Transplant, 2013, 13 (2) :363-368. [24]ITO T, KIUCHI T, YAMAMOTO H, et al.Changes in portal venous pressure in the early phase after living donor liver transplantation:pathogenesis and clinical implications[J].Transplantation, 2003, 75 (8) :1313-1317. [25]WU TJ, DAHIYA D, LEE CS, et al.Impact of portal venous hemodynamics on indices of liver function and graft regeneration after right lobe living donor liver transplantation[J].Liver Transpl, 2011, 17 (9) :1035-1045. [26]AYUSE T, BRIENZA N, O'DONNELL CP, et al.Pressure-flow analysis of portal vein and hepatic artery interactions in porcine liver[J].Am J Physiol, 1994, 267 (4 Pt 2) :h1233-h1242. [27]HENDERSON JM, GILMORE GT, MACKAY GJ, et al.Hemodynamics during liver transplantation:the interactions between cardiac output and portal venous and hepatic arterial flows[J].Hepatology, 1992, 16 (3) :715-718. [28]BOLOGNESI M, SACERDOTI D, BOMBONATO G, et al.Change in portal flow after liver transplantation:effect on hepatic arterial resistance indices and role of spleen size[J].Hepatology, 2002, 35 (3) :601-608. [29]SNCHEZ-CABU'S S, FONDEVILA C, CALATAYUD D, et al.Importance of the temporary portocaval shunt during adult living donor liver transplantation[J].Liver Transpl, 2013, 19 (2) :174-183. [30]CAMPOS BD, BOTHA JF.Strategies to optimize donor safety with smaller grafts for adult-to-adult living donor liver transplantation[J].Curr Opin Organ Transplant, 2012, 17 (3) :230-234. [31]SUEHIRO T, SHIMADA M, KISHIKAWA K, et al.Effect of intraportal infusion to improve small for size graft injury in living donor adult liver transplantation[J].Transpl Int, 2005, 18 (8) :923-928. [32]SOEJIMA Y, SHIMADA M, SUEHIRO T, et al.Outcome analysis in adult-to-adult living donor liver transplantation using the left lobe[J].Liver Transpl, 2003, 9 (6) :581-586. [33]MORI H, SHINOHARA H, ARAKAWA Y, et al.Beneficial effects of hyperbaric oxygen pretreatment on massive hepatectomy model in rats[J].Transplantation, 2007, 84 (12) :1656-1661. -
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