Domino Liver Transplantation

骨牌肝臓移植

10.29833/FJS.200810.0001

劉君恕(Chin-Su Liu)

domino or sequential ； liver transplantation ； hypercholesterolemia ； familial amyloidotic polyneuropathy

Formosan Journal of Surgery

41卷5期（2008 / 10 / 01）

191 - 196

英文

台灣首例骨牌肝臟移植於西元2007年十二月二十二日在台北榮民總醫院成功完成。骨牌肝臟移植亦稱爲連鎖肝臟移植，意思爲將第一位接受換肝病患的肝臟（骨牌捐贈肝）移植給第一位換肝病患（骨牌換肝接受者）。這種不尋常的換肝方式主要是增加捐贈器官的數量。本文將討論骨牌肝臟移植之歷史，使用骨牌捐贈肝之學理基礎以及手術之技巧。

In Taiwan, the first domino liver transplantation (DLTx) was successfully performed on December 22, 2007 in Taipei Veterans General Hospital. DLTx is also called sequential liver transplantation (SLTx). The meaning of DLTx is to implant the liver of the first liver transplant recipient (domino donor graft) to the second liver transplant recipient (domino recipient). This unusual type of liver transplantation is mainly for expanding organ availability. In this mini-review, the history, logical basis for the use of domino grafts and the surgical techniques will be described.