活体肝脏移植在肝再移植中应用研究进展OA

Against the backdrop of the persistent global shortage of liver graft resources,living-donor liver re-transplantation has become the core salvage treatment modality for patients with graft dysfunction after primary liver transplantation.Compared with deceased-donor liver re-transplantation,it possesses unique clinical advantages in terms of graft accessibility,surgical complications,and long-term survival prognosis.Biliary complications,vascular embolism,chronic rejection,and recurrence of the primary disease are the main inducements requiring re-transplantation;severe intra-abdominal adhesions,complex vascular and biliary reconstruction remain the major technical difficulties during surgery.With the application of ICG molecular fluorescence imaging technology and minimally invasive techniques,surgical complications have been reduced,and the long-term survival rate of patients has been significantly improved.