自体肝移植相关技术与并发症

The key techniques and complications related with autologous liver transplantation

自体肝移植不但为不能常规手术切除的肝脏占位性病灶患者提供了手术治愈的可能，同时也为缓解供肝短缺开辟了新的途径。然而，由于该技术是一项将体外肝脏切除、低温器官灌注、体外静脉转流和肝移植血管胆道吻合技术结合的极其复杂外科手术，患者术后相关并发症多，病死率高。为进一步推广该技术，结合本中心经验，本文将该技术相关关键技术和并发症处理策略进行综述。

Autologous liver transplantation, a type of ex situ liver surgery along with hypothermic organ preservation, a venovenous bypass and complicated vascular reconstructions, allows better access to unresectable tumor and is considered as an effective strategy to overcome the shortage of donors. However, the high complication incidence and mortality related with the technique limit its wide application. To popularize this tech- nique, based on our current experience, we review the key parts of the surgery and the treatment strategy for the complications.