간이식의 현재 = Current Status of Liver Transplantation

• 제어번호 : 3006739
• 저자명 : 김홍진
• 학술지명 : 영남의대학술지(Yeungnam University Journal of Medicine)
• 권호사항 : Vol.18 No.1 [2001]
• 발행처 : 영남대학교 기초/임상의학연구소(COLLEGE OF MEDICINE, YEUNGNAM UNIVERSITY)
• 발행처 URL : http://medlib.yu.ac.kr/yujm
• 자료유형 : 학술저널
• 수록면 : 1-12(12쪽)
• 언어 : Korean
• 발행년도 : 2001년
• KDC : 513.000
• 주제어 : Liver transplantation

초록 (Abstract)

Liver transplantation is widely accepted as an effective therapeutic modality for a variety of irreversible acute and chronic liver diseases for which no satisfactory therapy is available. Following the first unsuccessful efforts at human liver transplantation in 1963, development of the procedure evolved at first slowly and steadily for 20 years and then rapidly over the past two decades. The growth of liver transplantation was facilitated by the conclusion of the national institutes of health consensus development conference in 1983 that liver transplantation is not an experimental procedure but an effective therapy that deserves broader application. The number of liver transplantations increased 2.4-fold(from 1,713 to 4,058) from 1988 to 1996, but the number of patients on the UNOS(united network of organ sharing) liver list increased 12.1-fold(from 616 to 7,467) ; as would be expected, the number of deaths of listed patients increased 4.9-fold(from 195 to 954). The current supply of donor livers is insufficient to meet this need, and organ donation has been stagnant or increased by only a few percent in recent years. These facts underscore the importance of the appropriate selection of candidates for liver transplantation and the development of operative procedures, such as living donor liver transplant,
split liver transplant and auxiliary partial liver transplant.

목차 (Table of Contents)

역사적 배경

간이식의 적응증과 수술시기

간이식의 절대적 금기

수혜자의 평가

사체 공여자의 평가

간이식 술식의 종류

생체 간이식의 장·단점

보조 간이식

면역 억제

수술 후 합병증

결과

우리나라의 간이식 현황

간이식의 세계적인 추세