体外静脉-静脉转流术在肝移植的应用现状

Current status of veno-venous bypass in liver transplantation

自Shaw等首次成功应用体外静脉-静脉转流术（VVB）完成肝移植以来，在最近几十年对经典式肝移植及背驮式肝移植是否常规应用VVB存在很大争议。事实上随着外科技术的不断发展和麻醉监测管理水平的不断提高，只有少数患者在进行肝移植时需应用VVB技术。本文就此问题对近年相关文献加以综述，以期为临床肝移植提供参考。

Since Shaw et al, first reported the first case successfully treated by veno-venous bypass （VVB）, there has been great controversy on the routine application of VVB during conventional liver transplantation and piggyback liver transplantation in recent decades. With the improvements on the surgical skills, surgical techniques and anesthesiology, only a small portion of patients have the indications for VVB in liver transplantation routinely. This article reviews the current publications in this topic, which may provide new insight into the liver transplantation in clinical practice.