Abstract:

Objective To summarize the surgical experience of liver transplantation in children receiving left lateral lobe. Methods A total number of 26 patients who suffered end stage liver disease had undergone partial liver transplant from September，2014 to August，2015，data were collected and analyzed，who were donated by left lateral lobe of liver. Among all the cases，22 children patients received living donor liver transplantation， the others received "split liver transplantation". Results Neither mortality nor serious complications occurred in the living organ donors. One child died in perioperativeperiod. Other recipients showed no discomfort in long term follow-up. Conclusion With high quality operation，pre-operate assessment，left lateral lobe transplantation is fairly feasible.

摘要：

目的 总结小儿肝移植中左外侧叶供肝切取和修整的经验体会。方法 收集 2014 年 9 月 -2015 年 8 月终末期肝病实施肝移植的患儿 26 例，供肝为左外侧叶，其中活体供肝 22 例，劈离式 4 例。 受者手术均为背驮式肝移植。结果 22 例活体供者均无严重并发症及死亡，26 例小儿在接受肝移植术后， 除 1 例在围术期死亡，其他患儿均长期随访健康存活。结论 小儿接受左外侧叶供肝，术前应精确评估， 手术精细操作，最大限度保证供受者安全，移植效果良好。