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Revolution and Refinement of Surgical Techniques for Living Donor Partial Liver Transplantation

Ender Dulundu|Yasuhiko Sugawara|Masatoshi Makuuchi
연세대학교의과대학 (Yonsei University College of Medicine)|2004.12|Yonsei Medical Journal|제45권 제6호|pp. 1076-1088

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참고문헌

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초록

Abstract

Living donor liver transplantation (LDLT) was first successfully performed on a child in 1990 and the Shinshu group performed the same procedure on an adult for the first time in 1994. Over the past few years adult LDLT has been increasing worldwide because of the severe shortage of cadaveric organs, especially in locations where the transplantation of organs from brain-dead donors is rarely practiced. The surgical procedures for LDLT are more technically challenging than those for cadaveric whole liver transplantation. LDLT requires a full understanding of hepatobiliary anatomy and continuous technical refinement of the procedure. The development of innovative techniques is a key factor for a successful LDLT. Some of the technical highlights include selective vascular occlusion techniques for donor hepatectomy, hepatic arterial reconstruction under the microscope, the introduction of intraoperative ultrasound, graft volume estimation, hepatic venous reconstruction using cryopreserved vascular grafts, and the use of the right lateral sector of the liver. These techniques have improved the success rate of LDLT over the past few years. This review focuses on the surgical techniques for LDLT on the basis of our experience with adult LDLT at the Tokyo University Hospital.

참고문헌 (81)

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관련 논문AI추천

Clinical implication of hepatic volumetry for living donor liver transplantation정우경대한간학회 · Clinical and Molecular Hepatology2018 · 제24권 제1호＂Small-for-size Graft＂ and ＂Small-for-size Syndrome＂ in Living Donor Liver TransplantationKoicho Tanaka, Yasuhiro Ogura연세대학교의과대학 · Yonsei Medical Journal2004 · 제45권 제6호Current status of robotic surgery for liver transplantation한대훈소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2022 · 제11권 제2호Adult-to-Adult Living Donor Liver Transplantation at the Asan Medical Center문덕복, 이승규연세대학교의과대학 · Yonsei Medical Journal2004 · 제45권 제6호Biliary Complications after Living Donor Liver Transplantation Differ from Those after Deceased Donor Liver TransplantationJang Sung Ill, Lee Dong Ki거트앤리버 소화기연관학회협의회 · Gut and Liver2022 · 제16권 제2호The impact of ischemia-free liver transplantation on improving the prognosis of recipients using functionally marginal liver grafts: Editorial on “Ischemia-free liver transplantation improves the prognosis of recipients using functionally marginal liver grafts”Ho Joong Choi대한간학회 · Clinical and Molecular Hepatology2024 · 제30권 제4호

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