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儿童肝移植由于供肝来源相对匮乏,活体肝移植目前已成为主要手术方式。在儿童活体肝移植中,移植物的大小匹配和供受体血管解剖情况是非常重要的问题。术前对供受体双方肝脏解剖进行精确的评估是保证手术成功和供体安全的关键因素。随着高分辨率CT及MRI检查技术的进步,使术前对供受体双方肝脏的三维可视化重建能够得以实现。本文将对供受者术前评估的若干要点进行简要总结。
Child liver transplantation Because of the relative lack of donor liver, living donor liver transplantation has now become the primary surgical modality. In living donor liver transplantation, the size-matching of the grafts and the anatomy of the recipient’s blood vessels are very important issues. Accurate assessment of liver anatomy for both donor and recipient prior to surgery is a key factor in ensuring successful surgery and donor safety. With the advancement of high-resolution CT and MRI examination techniques, three-dimensional visualization and reconstruction of the liver of donor and recipient can be achieved preoperatively. This article summarizes a few key points about donor preoperative evaluation.