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中华普通外科学文献(电子版)

中华普通外科学文献(电子版) ›› 2024, Vol. 18 ›› Issue (04) : 241 -252. doi: 10.3877/cma.j.issn.1674-0793.2024.04.001

指南

中国活体肝移植供者微创手术技术指南（2024版）
中华医学会器官移植学分会, 中国医师协会器官移植医师分会   
  1. 1. 四川大学华西医院器官移植中心　普通外科，成都　610041
    2. 浙江大学医学院，杭州　310006
    3. 复旦大学附属华山医院，上海　200040
    4. 郑州大学附属第一医院，郑州　450052
    5. 四川大学华西医院，成都　610041
  • 收稿日期:2024-07-24 出版日期:2024-08-01
  • 基金资助:
    国家重点研发计划(2022YFC2304705); 国家自然科学基金(82070674、82270691); 四川省科技厅重点研发项目(2023YFS0026); 成都市科技局重点研发支撑计划(2022YF0900009SN)

Chinese guidelines for minimally invasive surgical technique in living donor liver transplantation (2024 edition)

Branch of Organ Transplant of China Medical Association, Branch of Organ Transplant Physicians of Chinese Medical Doctor Association   

  1. 1. Liver Transplantation Center, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
    2. Zhejiang University School of Medicine, Hangzhou 310006
    3. Huashan Hospital, Fudan University, Shanghai 200040, China
    4. The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
    5. West China Hospital, Sichuan University, Chengdu 610041, China
  • Received:2024-07-24 Published:2024-08-01
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中华医学会器官移植学分会, 中国医师协会器官移植医师分会. 中国活体肝移植供者微创手术技术指南（2024版）[J]. 中华普通外科学文献(电子版), 2024, 18(04): 241-252.

Branch of Organ Transplant of China Medical Association, Branch of Organ Transplant Physicians of Chinese Medical Doctor Association. Chinese guidelines for minimally invasive surgical technique in living donor liver transplantation (2024 edition)[J]. Chinese Archives of General Surgery(Electronic Edition), 2024, 18(04): 241-252.

微创外科学在现代医学中扮演着至关重要的角色。微创手术因兼具创伤小、操作精细、术中出血量少、术后恢复快等优势近年来在肝移植领域的应用逐渐广泛，包括上腹部正中小切口活体供肝切取术、腹腔镜辅助活体供肝切取术、全腹腔镜活体供肝切取术、机器人活体供肝切取术。自2002年法国Cherqui教授首次报道全腹腔镜活体左外叶供肝切除术以来，微创技术在活体肝移植领域的应用开始日渐广泛。为了指导我国微创肝移植供肝切除术更规范、安全、有效地开展，中华医学会器官移植学分会及中国医师协会器官移植医师分会于2023年8月组织全国肝移植专家共同制订《中国活体肝移植供者微创手术技术指南（2024版）》，旨在为我国开展活体肝移植供者微创手术的外科医师提供科学的指导和参考。

关键词: 移植, 活体肝移植, 供者, 微创手术, 指南

Minimally invasive surgery plays a crucial role in modern medicine. With advantages such as less trauma, precise operation, intraoperative minimal bleeding, and rapid postoperative recovery, minimally invasive procedures have been increasingly applied in the field of liver transplantation in recent years. This include techniques such as small incision living donor hepatectomy through an upper abdominal midline incision, laparoscopic-assisted living donor hepatectomy, pure laparoscopic living donor hepatectomy, and robotic living donor hepatectomy. Since professor Cherqui from France firstly reported the total laparoscopic left lateral sectionectomy in living donors in 2002, the application of minimally invasive technology in living donor liver transplantation has become increasingly widespread. Based on this, so as to guide the more standardized, effective, and safe implementation of minimally invasive liver donor hepatectomy across the country, in August 2023, Branch of Organ Transplant of China Medical Association, combined with Branch of Organ Transplant Physicians of Chinese Medical Doctor Association organize national liver transplantation experts to jointly formulate the Chinese Guidelines for Minimally Invasive Surgical Techniques in Living Donor Liver Transplantation (2024 Edition). This is to provide scientific guidance and reference for surgeons performing minimally invasive surgery on living liver donors in China.

Key words: Transplantation, Living donor liver transplantation, Donor, Minimally invasive surgery, Guideline
表1 循证医学证据分级
证据级别 定义
Ⅰ级 同质随机对照试验的系统评价
单项随机对照试验（可信区间窄）
全或无病案系列研究
Ⅱ级 同质队列研究的系统评价
单项队列研究（包括低质量随机对照试验，如随访率<80%）
结果研究，生态学研究
Ⅲ级 同质病例对照研究的系统评价
单项病例对照研究
Ⅳ级 病例系列研究（包括低质量队列及病例对照研究）
Ⅴ级 基于经验未严格论证的专家意见
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