辅助性肝移植研究进展

Advance on auxiliary liver transplantation

辅助性肝移植是指在保留受体自身全部或部分肝脏的情况下，将供肝植入受体体内。根据供肝植入部位不同，可分为异位辅助性肝移植和原位辅助性肝移植；根据植入肝体积的多少，可分为全肝辅助性肝移植和部分肝辅助性肝移植；供肝可来源于脑死亡供体也可以来源于活体供体。由于原位辅助性肝移植只能移植部分肝脏，故通常称为原位辅助性部分肝移植。辅助性肝移植伴随着肝移植的发展而不断发展，虽然还存在许多尚待解决的问题，但辅助性肝移植独特的优势再次引起了肝移植界的广泛关注。

Auxiliary liver transplantation reserves whole or part of recipient＇native liver while implanting the graft. It can be classified as auxiliary heterotopic liver transplantation and auxiliary orthotopic liver transplantation according to the location of the graft. On the basis of graft volume, it can be categorized as whole liver auxiliary liver transplantation and partial liver auxiliary liver transplantation. Either cadaveric or living donor is available. Because auxiliarg orthotopic liver transplantation is only the partial liver transplantation, so it is also called aunliry orthotopic partial liver transplantation. The technique of auxiliary liver transplantation progresses with the development of liver transplantation. Great attention is paid to auxiliary liver transplantation because of its special superiority, in spite of some unresolved problems.