中国活体肝移植供者微创手术技术指南(2024版)

Chinese guidelines for minimally invasive surgical technique in living donor liver transplan⁃tation (2024 edition)

  • 摘要: 微创外科学在现代医学中扮演着至关重要的角色。微创手术因兼具创伤小、操作精细、术中出血量少、术后恢复快等优势近年来在肝移植领域的应用逐渐广泛,包括上腹部正中小切口活体供肝切取术、腹腔镜辅助活体供肝切取术、全腹腔镜活体供肝切取术、机器人活体供肝切取术。自2002年法国Cherqui教授首次报道全腹腔镜活体左外叶供肝切除术以来,微创技术在活体肝移植领域的应用开始日渐广泛。为了指导我国微创肝移植供肝切除术更规范、安全、有效地开展,中华医学会器官移植学分会及中国医师协会器官移植医师分会于2023年8月组织全国肝移植专家共同制订《中国活体肝移植供者微创手术技术指南(2024版)》,旨在为我国开展活体肝移植供者微创手术的外科医师提供科学的指导和参考。

     

    Abstract: Minimally invasive surgery plays a crucial role in modern medicine. With advan-tages such as less trauma, precise operation, intraoperative minimal bleeding, and rapid postopera-tive recovery, minimally invasive procedures have been increasingly applied in the field of liver transplantation in recent years. This include techniques such as small incision living donor hepatec-tomy through an upper abdominal midline incision, laparoscopic‑assisted living donor hepatectomy, pure laparoscopic living donor hepatectomy, and robotic living donor hepatectomy. Since professor Cherqui from France firstly reported the total laparoscopic left lateral sectionectomy in living donors in 2002, the application of minimally invasive technology in living donor liver transplantation has become increasingly widespread. Based on this, so as to guide the more standardized, effective, and safe implementation of minimally invasive liver donor hepatectomy across the country, in August 2023, Branch of Organ Transplant of China Medical Association, combined with Branch of Organ Transplant Physicians of Chinese Medical Doctor Association organize national liver transplan-tation experts to jointly formulate the Chinese Guidelines for Minimally Invasive Surgical Techniques in Living Donor Liver Transplantation (2024 Edition). This is to provide scientific guidance and reference for surgeons performing minimally invasive surgery on living liver donors in China.

     

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