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"废弃肝"辅助性肝移植的创新临床应用与前景展望

左邦佑 杨冲 游欣雨 何谦 程东辉 邱国腾 李德新 伍刚 张宇

中国普通外科杂志2026,Vol.35Issue(1):69-76,8.
中国普通外科杂志2026,Vol.35Issue(1):69-76,8.DOI:10.7659/j.issn.1005-6947.260012

"废弃肝"辅助性肝移植的创新临床应用与前景展望

Auxiliary liver transplantation using discarded liver:innovative clinical applications and future perspectives

左邦佑 1杨冲 1游欣雨 1何谦 1程东辉 1邱国腾 1李德新 1伍刚 1张宇1

作者信息

  • 1. 四川省医学科学院·四川省人民医院/电子科技大学附属医院 肝胆胰外科,四川 成都 610072
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摘要

Abstract

Discarded liver refers to functional liver segments separated from resected diseased livers.When used as small-volume grafts in auxiliary liver transplantation,discarded livers provide a novel strategy for expanding the donor pool.In recent years,with the further extension of the discarded liver concept,the rational integration of discarded liver transplantation with staged hepatectomy and other surgical techniques,together with rapid advances in the field of xenotransplantation,has offered additional therapeutic options for patients awaiting liver transplantation.How to achieve innovative clinical applications of discarded livers,as well as the prospects and directions for their wider adoption,has become an important issue in the field of liver transplantation.Based on current domestic and international evidence and the authors'clinical experience,this paper systematically summarizes the technical evolution and current applications of auxiliary liver transplantation using discarded livers,with a particular focus on innovative surgical strategies,the potential clinical value of combining discarded liver transplantation with xenotransplantation,and future perspectives on the safe implementation and individualized surgical decision-making of this approach.

关键词

肝移植/废弃肝/联合肝脏离断和门静脉结扎的二步肝切除术/移植,异种

Key words

Liver Transplantation/Discarded Liver/Associating Liver Partition and Portal Vein Ligation for Staged Hepatecto-my/Transplantation,Heterologous

分类

医药卫生

引用本文复制引用

左邦佑,杨冲,游欣雨,何谦,程东辉,邱国腾,李德新,伍刚,张宇.."废弃肝"辅助性肝移植的创新临床应用与前景展望[J].中国普通外科杂志,2026,35(1):69-76,8.

基金项目

医工交叉联合基金(青年类)资助项目(ZYGX2025YGLH008) (青年类)

四川省科技厅基金资助项目(2024NSFSC0748). (2024NSFSC0748)

中国普通外科杂志

1005-6947

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