劈离式肝移植

Split liver transplantation

劈离式肝移植术是一种理想的扩大供肝利用和缓解供肝短缺矛盾的方法，可以缩短受者等待时间，降低等待期间患者病死率。劈离式肝移植与全肝移植比较，在供肝及受者选择、移植物血管分配、供肝劈分技术要点及移植物保护等方面的要求更严格，是影响劈离式肝移植效果的关键因素。随着对部分肝移植认识的加深，器官保存技术、外科技术的不断发展，并发症预防手段的进步，劈离式肝移植必将拥有更广泛的发展空间。

Split liver transplantation （SLT） can ex- pand the donor pool and alleviate the donor shortage contra- diction, shorten waiting time and reduce the mortality of pa- tients on the waiting list. Compared with whole liver trans- plantation, key factors, such as selection of donor and recip- ient, distribution of graft vascular, technique point of split- ting and preservation of the liver graft, deeply impact the clinical effect of SLT. With the deepening knowledge about partial graft liver transplantation and development of organ preservation technology, surgical techniques and progressive prevention means against complications, SLT will have a broader space for development.