活体肝移植的进展与展望

活体肝移植（LDLT）可扩大供肝来源，有效缓解供体紧缺局面，尤其是对儿童、急性肝功能衰竭患者和无，法长期等待的肝癌患者有着十分重要的意义。为尽可能减少LDLT潜在的手术风险，尤其是供者的风险，应由肝病内外科医师共同进行严格的供受体术前评估和准备，选择恰当的手术方案。中闰应稳步开展LDLT，并积极拓展尸体和脑死亡供体肝移植，进一步发展儿童LDLT和劈离式肝移植（SIX）以提高器官利用率。在第六届上海国际胃肠病学会议期间，国内外肝病专家就LDLT的现状作了相关报道，本文就此次会议的有关内容和最新进展作一简要介绍。

Advancement and Prospect of Living Donor Liver Transplantation

Living donor liver transplantation （LDLT） expands the donor pool, ameliorates the organ shortage effectively. It is very important especially for children, patients with acute hepatic failure or hepatic malignancy who cannot wait long for operation. To minimize the potential risk of LDLT, especially in donors, strict evaluation and preparation for both donors and recipients before operation and selecting optimal procedure should be performed by hepatic surgeons and physicians together. LDLT should be candied out steadily in China, also the liver transplantation using livers of cadaver donors （DLT） and brain-death （DBD） donors, and to improve the utilization rate of organ by further promoting pediatric LDLT and split liver transplantation （SLT）. Liver disease specialists both home and abroad have given reports concerning the current status of LDLT during the 6^th Shanghai International Conference of Gastroenterology, and here we reviewed some results discussed and recent advances in these fields.