Innovative surgical techniques in the intestine and multivisceral transplant.

IF 1.8 4区 医学 Q3 TRANSPLANTATION Current Opinion in Organ Transplantation Pub Date : 2024-02-01 Epub Date: 2023-10-30 DOI:10.1097/MOT.0000000000001098
Phillipe Abreu, Joao Manzi, Rodrigo Vianna
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Abstract

Purpose of review: This timely review delves into the evolution of multivisceral transplantation (MVT) over the past six decades underscoring how advancements in surgical techniques and immunosuppression have driven transformation, to provide insight into the historical development of MVT, shedding light on its journey from experimentation to a valuable clinical approach.

Recent findings: The review presents contemporary enhancements in surgical methods within the context of intestinal transplantation. The versatility of MVT is emphasized, accommodating diverse organ combinations and techniques. Both isolated intestinal transplantation (IIT) and MVT have seen expanded indications, driven by improved parenteral nutrition, transplantation outcomes, and surgical innovations. Surgical techniques are tailored based on graft type, with various approaches for isolated transplantation. Preservation strategies and ostomy techniques are also covered, along with graft assessment advancements involving donor-specific antibodies.

Summary: This review's findings underscore the remarkable evolution of MVT from experimental origins to a comprehensive clinical practice. The progress in surgical techniques and immunosuppression has broadened the spectrum of patients who can benefit from intestinal transplant, including both IIT and MVT. The expansion of indications offers hope to patients with complex gastrointestinal disorders. The detection of donor-specific antibodies in graft assessment advances diagnostic accuracy, ultimately improving patient outcomes.

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创新的肠道和多器官移植手术技术。
综述目的:这篇及时的综述深入探讨了过去60年来多器官移植(MVT)的演变,强调了外科技术和免疫抑制的进步是如何推动变革的,以深入了解MVT的历史发展,揭示其从实验到有价值的临床方法的历程。最近的发现:这篇综述介绍了肠移植手术方法的当代改进。MVT的多功能性被强调,适应不同的器官组合和技术。由于肠外营养、移植结果和手术创新的改善,分离式肠移植(IIT)和MVT的适应症都有所扩大。手术技术是根据移植物类型量身定制的,有各种单独移植的方法。还涵盖了保存策略和造口术技术,以及涉及供体特异性抗体的移植物评估进展。综述:这篇综述的发现强调了MVT从实验起源到全面临床实践的显著演变。外科技术和免疫抑制的进步拓宽了可以从肠移植中受益的患者范围,包括IIT和MVT。适应症的扩大为患有复杂胃肠道疾病的患者带来了希望。移植物评估中供体特异性抗体的检测提高了诊断的准确性,最终改善了患者的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.10
自引率
4.50%
发文量
124
审稿时长
6-12 weeks
期刊介绍: ​​​​​​Current Opinion in Organ Transplantation is an indispensable resource featuring key, up-to-date and important advances in the field from around the world. Led by renowned guest editors for each section, every bimonthly issue of Current Opinion in Organ Transplantation delivers a fresh insight into topics such as stem cell transplantation, immunosuppression, tolerance induction and organ preservation and procurement. With 18 sections in total, the journal provides a convenient and thorough review of the field and will be of interest to researchers, surgeons and other healthcare professionals alike.
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