劈离式肝移植围手术期管理

在肝源短缺的背景下，劈离式肝移植实现了“一肝两用”的目的，有效缓解了供肝短缺的现状，具有较大的发展前景。且随着肝移植手术技术的进步，劈离式肝移植可获得接近全肝移植的预后。但劈离式肝移植围手术期管理仍面临着诸多挑战，其技术要求更高，发生并发症的风险较大，并有可能将1个高质量的供肝转化为2个边缘供肝，影响肝移植手术的开展。本文就术前评估、受者管理及术后并发症管理等方面探讨劈离式肝移植的围手术期管理，为促进临床劈离式肝移植的发展，改善劈离式肝移植受者预后提供参考。

Perioperative management of split liver transplantation

In the context of shortage of donor livers, split liver transplantation has achieved the goal of "one donor liver for two recipients", which effectively alleviates the shortage of donor livers and has promising development prospect. With the advancement of liver transplant techniques, split liver transplantation may yield clinical prognosis equivalent to total liver transplantation. However, perioperative management of split liver transplantation still encounters multiple challenges, with demanding techniques requirement and high-risk postoperative complications. Besides, there is a possibility of dividing one high-quality donor liver into two marginal donor livers, which will affect the development of liver transplantation. In this article, perioperative management of split liver transplantation was discussed from the perspectives of preoperative evaluation, recipient management and postoperative complication management, aiming to provide reference for promoting the development of split liver transplantation and enhancing clinical prognosis of recipients after split liver transplantation.