获取途径

作者

Xi Xu, Tao Lv, Gang Xu, Qiang Wei, Qi Ling, Lin Wei, Jianhua Li, Jiakai Zhang, Yang Cai, Jinzhen Cai, Guihua Chen, Zhishui Chen, Zhonghua Chen, Ying Cheng, Jian Dou, Shunda Du, Chengyou Du, Zhiren Fu, Zhiyong Guo, Lianghui Gao, Xiaoshun He, Qiang He, Lei Huang, Jianzhao Huang, Feng Huo, Changku Jia, Chen Jin, Wentao Jiang, Jipin Jiang, Zuoyi Jiao, Hong-En Jing, Ren Lang, Bo Li, Li Li, Ning Li, Qiyong Li, Wengang Li, Yumin Li, Guangming Li, Jun Liu, Lei Liu, Jingfeng Liu, Lianxin Liu, Zuojin Liu, Shichun Lu, Qian Lu, Ling Lv, Yi Lv, Guoyue Lv, Tingbo Liang, Yingzi Ming, Zhihai Peng, Jianghua Ran, Jun Shi, Beicheng Sun, Chengyi Sun, Xuyong Sun, Yuling Sun, Zhongzhou Si, Yingmei Shao, Jiulin Song, Kaishan Tao, Mujian Teng, Yunle Wan, Xueshuai Wan, Liming Wang, Hao Wen, Gang Wu, Jian Wu, Xiangwei Wu, Zhongjun Wu, Lai Wei, Jian Xu, Jun Xu, Yang Yang, Hongji Yang, Zhanyu Yang, Zhaoxu Yang, Jian Yang, Qifa Ye, Shuhong Yi, Jian Zhou, Feng Zhang, Lei Zhang, Min Zhang, Wu Zhang, Leida Zhang, Shuijun Zhang, Shunyun Zhao, Hong Zheng, Lin Zhong, Haitao Zhu, Jiye Zhu, Xiaofeng Zhu, Zhijun Zhu, Hong Wu, Wenzhi Guo, Zhengxin Wang, Xiao Xu, Jiayin Yang Branch of Organ Transplant Physicians of Chinese Medical Doctor Association Branch of Organ Transplant of Chinese Medical Association

作者单位

Affiliations ¹ Liver Transplant Center, Department of General Surgery, West China Hospital of Sichuan University, Chengdu, China. ² Laboratory of Liver Transplantation, Frontiers Science Center for Disease-Related Molecular Network, West China Hospital of Sichuan University, Chengdu, China. ³ Zhejiang University School of Medicine, Hangzhou, China. ⁴ Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China. ⁵ Liver Transplantation Center, National Clinical Research Center for Digestive Diseases, Beijing Friendship Hospital, Capital Medical University, Beijing, China. ⁶ Liver Transplantation Center, Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China. ⁷ Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. ⁸ Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China. ⁹ Organ Transplantation Center, Affiliated Hospital of Qingdao University, Qingdao, China. ¹⁰ Department of Hepatic Surgery and Liver Transplantation Center of The Third Affiliated Hospital, Organ Transplantation Institute, Sun Yat-sen University, Guangzhou, China. ¹¹ Institute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. ¹² Department of Transplantation and General Surgery, First Hospital of China Medical University, Shenyang, China. ¹³ Department of Hepatobiliary Surgery, Hebei Medical University Third Hospital, Shijiazhuang, China. ¹⁴ Department of Liver Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China. ¹⁵ Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. ¹⁶ Department of General Surgery, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. ¹⁷ Organ Transplant Centre, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. ¹⁸ Department of Hepatobiliary & Pancreatic Surgery, First Affiliated Hospital, Hainan Medical University, Haikou, China. ¹⁹ Department of Hepatobiliary Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. ²⁰ Department of Hepatobiliary Surgery, Peking University People's Hospital, Beijing, China. ²¹ Department of Hepatobiliary Surgery, Guizhou Provincial People's Hospital, Guiyang, China. ²² Department of Hepatobiliary Surgery and Liver Transplant Center, General Hospital of Southern Theater Command, Guangzhou, China. ²³ Department of Liver Transplantation, Tianjin First Central Hospital, Tianjin, China. ²⁴ Department of General Surgery, Second Hospital of Lanzhou University, Lanzhou, China. ²⁵ Department of Hepatobiliary & Pancreatic Surgery, Affiliated Hospital of Qinghai University, Xining, China. ²⁶ Department of Liver Surgery, West China Hospital of Sichuan University, Chengdu, China. ²⁷ Department of Hepato-Biliary-Pancreatic Surgery, The First People's Hospital of Kunming, The Affiliated Calmette Hospital of Kunming Medical University, Kunming, China. ²⁸ General Surgery Center, Beijing Youan Hospital, Capital Medical University, Beijing, China. ²⁹ Department of Hepatobiliary and Pancreatic Surgery, Department of Liver Transplantation, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, Hangzhou, China. ³⁰ Department of Hepatobiliary and Pancreatic & Organ Transplantation Surgery, Xiang'an Hospital, School of Medicine, Xiamen University, Xiamen, China. ³¹ Key Laboratory of Digestive System Tumor of Gansu Province, Lanzhou University Second Hospital, Lanzhou, China. ³² Department of Liver Transplantation and Hepatobiliary Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China. ³³ The Third People's Hospital of Shenzhen, The Second Hospital Affiliated of Southern University of Science and Technology, Shenzhen, China. ³⁴ Innovation Center for Cancer Research, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, China. ³⁵ Department of Hepatobiliary Surgery, The First Affiliated Hospital of USTC, Hefei, China. ³⁶ Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China. ³⁷ Institute and Hospital of Hepatobiliary Surgery of Chinese PLA, Chinese PLA Medical School, Chinese PLA General Hospital, Beijing, China. ³⁸ Center of Hepatobiliary Pancreatic Disease, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China. ³⁹ Hepatobiliary Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. ⁴⁰ Department of Hepatobiliary Surgery and Institute of Advanced Surgical Technology and Engineering, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China. ⁴¹ Department of General Surgery, The First Hospital of Jilin University, Changchun, China. ⁴² Transplantation Center, The Third Xiangya Hospital, Central South University, Changsha, China. ⁴³ Department of General Surgery, Ji'an Hospital, Shanghai East Hospital, School of Medicine, Tongji University, Ji'an, China. ⁴⁴ Department of Hepatobiliary Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China. ⁴⁵ Department of Hepatobiliary Surgery, The Affiliated Hospital of Guizhou Medical University, Guiyang, China. ⁴⁶ Transplant Medical Center, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China. ⁴⁷ Department of Liver Transplant, The Second Xiangya Hospital, Central South University, Changsha, China. ⁴⁸ Department of Hepatobiliary & Hydatid Diseases, Digestive & Vascular Surgery Center, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China. ⁴⁹ Department of Hepatobiliary Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, China. ⁵⁰ Department of Liver Transplantation and Hepatic Surgery, Cheeloo College of Medicine, Shandong University, Shandong Qianfoshan Hospital, Jinan, China. ⁵¹ Department of Hepatobiliary, Pancreatic and Splenic Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. ⁵² Division of Hepatobiliary and Pancreatic Surgery, Department of General Surgery, The Second Affiliated Hospital of Dalian Medical University, Dalian, China. ⁵³ Department of Hepatobiliary Surgery, The First Affiliated Hospital of Shihezi University, Shihezi, China. ⁵⁴ Hepatobiliary and Liver Transplantation Department of Hainan Digestive Disease Center, Institute of Clinical Medicine, The Second Affiliated Hospital of Hainan Medical University, Haikou, China. ⁵⁵ Department of Hepatobiliary and Pancreatic Surgery and Liver Transplant Center, The First Hospital of Shanxi Medical University, Taiyuan, China. ⁵⁶ Organ Transplantation Center, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China. ⁵⁷ Faculty of Hepato-Pancreato-Biliary Surgery, Chinese PLA General Hospital, Beijing, China. ⁵⁸ Zhongnan Hospital of Wuhan University, Institute of Hepatobiliary Diseases of Wuhan University, Transplant Center of Wuhan University, Wuhan, China. ⁵⁹ Department of Liver Surgery, Zhongshan Hospital, Fudan University, Liver Cancer Institute, Fudan University, Shanghai, China. ⁶⁰ Department of General Surgery, The First Hospital of Lanzhou University, Lanzhou, China. ⁶¹ Department of Hepatobiliary Surgery Institute, Southwest Hospital, Third Military Medical University, Chongqing, China. ⁶² Department of Hepatic Hydatidosis, Qinghai Provincial People's Hospital, Xining, China. ⁶³ Organ Transplant Department, Tianjin First Central Hospital, School of Medicine, Nankai University, Tianjin, China. ⁶⁴ Department of General Surgery, The Third People's Hospital of Shenzhen, The Second Hospital Affiliated of Southern University of Science and Technology, Shenzhen, China. ⁶⁵ Hangzhou Medical College, Hangzhou, China.

刊名

Hepatobiliary surgery and nutrition

年份

2024

卷号

Vol.13 No.6

页码

919-936

ISSN

2304-3881

关键词

Living donor liver transplantation donor guideline minimally invasive surgery.

摘要

Background: Minimally invasive surgeries are increasingly central to modern medicine, particularly in liver transplantation. These techniques, which offer reduced trauma, precise operations, minimal bleeding, and swift recovery, are, however, unevenly adopted across China. Only a limited number of centers routinely perform minimally invasive donor hepatectomies, indicating a significant imbalance in the development and application of these advanced procedures. Additionally, there lacks a set of ...更多

Background: Minimally invasive surgeries are increasingly central to modern medicine, particularly in liver transplantation. These techniques, which offer reduced trauma, precise operations, minimal bleeding, and swift recovery, are, however, unevenly adopted across China. Only a limited number of centers routinely perform minimally invasive donor hepatectomies, indicating a significant imbalance in the development and application of these advanced procedures. Additionally, there lacks a set of standardized guidelines that are tailored to meet China's unique healthcare challenges and conditions. Methods: In August 2023, the Branch of Organ Transplant of Chinese Medical Association and the Branch of Organ Transplant Physicians of Chinese Medical Doctor Association convened a group of national liver transplantation experts to establish a guideline development committee. This committee conducted a thorough review of relevant literature, evaluated existing guidelines and consensus, and assessed factors such as the evidence base, patient preferences, and the cost-effectiveness of interventions within China. After multiple rounds of discussions, both online and offline, the committee finalized the guidelines. Results: This collaborative effort led to the creation of the 'Chinese guidelines for minimally invasive donor hepatectomy in living donor liver transplantation '. These guidelines address crucial aspects such as the safety and advantages of minimally invasive surgery for living donor liver transplantation, donor selection criteria, anesthesia strategies, surgical technical details, and learning curves associated with these procedures, resulting in a comprehensive set of 26 recommendations. Conclusions: The formulation of these guidelines represents a significant advancement towards standardizing minimally invasive liver transplantation surgeries in China. They are designed to enhance outcomes for both donors and recipients by synthesizing expert consensus with contemporary research and clinical practices. Moreover, they serve as a crucial reference for surgeons and medical institutions, promoting the refinement and adoption of minimally invasive surgical techniques in liver transplantation.收起

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