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肝移植是治疗小儿终末期肝脏疾病的有效手段[1]。自1989年Strong等[2]成功地进行了首例成人-儿童左外侧叶活体肝移植以来,小儿活体部分肝移植已经过了20年的经验积累与发展,目前已经广泛开展,并取得良好的效果。但婴幼儿(<10kg),尤其是新生儿(<6kg)肝移植,由于其特小的体质量和个体,使其在移植外科学以及术后护理上更有挑战性[3],本文就婴儿单段肝脏移植进展及展望综述如下。
Liver transplantation is an effective treatment of end-stage liver disease in children [1]. Since 1989, Strong et al [2] successfully performed the first adult-left lateral lobe liver transplantation in vivo, it has been 20 years since the partial liver transplantation in children has accumulated the experience and development, and has been widely carried out and achieved good effect. However, liver transplants in infants and young children (<10 kg), especially neonates (<6 kg), are more challenging in terms of transplant surgery and postoperative care because of their very small body mass and individuality The progress and prospects of single-stage liver transplantation in infants are summarized as follows.