价其确切疗效。目前我国大陆地区的成人LDLT还刚刚起步,仅少数单位开展几
例。由于LDLT对外科技术的要求非常高,加上以活体取供肝面临复杂的伦理学
问题,因此还需做大量的工作,如完善相关的法律,制定供者自愿同意的统一标准,以
及有关活体肝移植知识的宣传和普及等。可以预见在不远的将来,就像现在的尸肝
移植一样,会有越来越多的成年患者通过LDLT获得长期存活。
参考文献
1ShapiroRS,AdamsM.Ethicalissuesurroun
dingadulttoadultlivingdonorlivertran
splantation.LiverTranspl,2000,6(6Suppl2):S
77 80.
2MarcosA.Rightlobelivingdonorlivertra
nsplantation:areview.LiverTranspl,2000,6
:3 20.
3MarcosA,FisherRA,HamJM,etal.Selection
andoutcomeoflivingdonorsforadulttoad
ultrightlobetransplantation.Transpla
ntation,2000,69:2410 2415.
4KimSchlugerL,AbittanCS,O′RourkeM,etal
.Evaluationofpotentialadulttoadultli
vingdonors:routinebiopsiesarenotindi
cated.Hepatology,2000,32:251A.
5RinellaME,AlonsoE,RaoS,etal.Bodymassi
ndexasapredictorofhepaticsteatosisin
livingliverdonors.LiverTranspl,2001,7:409
414.
6KiuchiT,KacaharaM,UryuharaK,etal.Impa
ctofgraftsizemismatchingongraftprogn
osisinlivertransplantationfromliving
donors.Transplantation,1999,67:321 327.
7UrataK,KawasakiS,MatsunamiH,etal.Calc
ulationofchildandadultstandardliverv
olumeforlivertransplantation.Hepatol
ogy,1995,21:1317 1321.
8NishizakiT,IkegamiT,HiroshigeS,etal.S
mallgraftforlivingdonorlivertranspla
ntation.AnnSurg,2001,233:575 580.
9LoCM,FanST,LiuCL,etal.Minimumgraftsiz
eforsuccessfullivingdonorlivertransp
lantation.Transplantation,1999,68:1112 1116.
10FanS,LoC,LiuC,etal.Safetyofdonorsinli
vedonorlivertransplantationusingrigh
tlobegrafts.ArchSurg,2000,135:336 340.
11MarcosA,FisherRA,HamJM,etal.Liverrege
nerationandfunctionindonorandrecipie
ntafterrightlobeadulttoadultlivingdo
norlivertransplantaion.Transplantati
on,2000,69:1375 1379.
12BenHaimM,EmreS,FacciutoM,etal.Critica
lgraftsizeinadulttoadultlivingdonorl
ivertransplantaion:theimpactoftherec
ipient′disease.Transplantation,2000,69:A6
87.
13IkegamiT,NishizakiT,YanagaK,etal.Thei
mpactofdonorageonlivingdonorlivertra
nsplantation.Transplantation,2000,70:1703 17
07.
14DeCecchisL,HribernikM,RavnikD,etal.An
atomicalvariationinthepatternoftheri
ghthepaticveins:possibilitiesfortype
classification.JAnat,2000,197pt3:487 493.
15ChengYF,HuangTL,ChenCL,etal.Variation