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Hepatobiliary & Pancreatic diseases International 2020年第4期19卷 324-327页

作者： Tsan-Shiun Lin Jeffrey Samuel Co Chao-Long Chen aldwin d.ong Liver Transplantation Center Department of SurgeryKaohsiung Chang Gung Memorial Hospital123 Ta-Pei RoadNiao SungKaohsiung 833TaiwanChina

Biliary complications have always been a dreaded cause of morbidity after living donor liver *** intrinsic variations in both graft and recipient biliary anatomy remain a significant factor to the difficulty of biliary reconstruction,our institution has taken advantage of its high volume of cases to critically review and evaluate modifiable operative risk factors,in particular,our surgical *** present herein,the evolution of our reconstructive biliary technique from conventional methods to our current standard of microsurgical biliary reconstruction for both graft and recipient *** this period of transition,our center has created a classification system for biliary reconstruction that decreased the biliary complication rates from 40.0%to 10.2%.

关键词： Living donor liver transplantation Biliary reconstruction Microsurgical biliary reconstruction Biliary classification Biliary complications

Segment 6 monosegment-preserving hepatectomy for hepatoblastoma:individualizing treatment beyond the resectability criteria

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Hepatobiliary Surgery and Nutrition 2021年第1期10卷 142-145页

作者： Chee-Chien Yong Chao-Long Chen Zhihao Li aldwin d.ong Liver Transplantation Center Department of SurgeryKaohsiung Chang Gung Memorial HospitalKaohsiung

Monosegment-preserving hepatic resections are very rarely considered in patients with locally advanced tumors given the high risk of liver failure from an inadequate liver remnant(1,2).Where this is considered,the associating liver partition and portal vein ligation for staged hepatectomy(ALPPS)technique,a two-staged procedure in order to induce remnant volume hypertrophy,have been reported(1,2).However,ALPPS has been known to have a high complication rate,hence even more infrequently,this complicated technique has been contemplated for pediatric patients(2).In the case we present,we identified an infant with a locally advanced hepatoblastoma with a unique anatomic presentation,that certainly precludes the possibility of ALPPS,but which otherwise provided the team with the opportunity to perform a single-staged monosegment-preserving hepatectomy with curative intent,in lieu of the alternative of liver transplantation(LT).

关键词： hepatectomy hepato preserving

Segment 8 hepatic vein reconstruction in a living donor after left hepatectomy

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Hepatobiliary Surgery and Nutrition 2021年第4期10卷 579-582页

作者： Chih-Yi Chen Chao-Long Chen Chee-Chien Yong aldwin d.ong Liver Transplantation Center Department of SurgeryKaohsiung Chang Gung Memorial HospitalKaohsiungTaiwanChina

Liver transplantation(LT)has been accepted worldwide as standard of treatment for end-stage liver *** to expanding indications for LT and shortage of cadaveric donors,living donor liver transplantation(LdLT)has emerged as an important alternative to augment the donor pool(1).Justifiably,donor safety is the fundamental priority in LdLT.

关键词： donor Liver hepatic

Proton beam therapy to bridge or downstage locally advanced hepatocellular carcinoma to living donor liver transplantation

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Hepatobiliary Surgery and Nutrition 2022年第1期11卷 103-111页

作者： Chao-Long Chen aldwin d.ong Jen-Yu Cheng Chee-Chien Yong Chih-Che Lin Chih-Yi Chen Yu-Fan Cheng Liver Transplantation Center Department of SurgeryKaohsiung Chang Gung Memorial HospitalChang Gung University College of MedicineKaohsiungTaiwanChina Liver Transplantation Center Department of Radiation OncologyKaohsiung Chang Gung Memorial HospitalChang Gung University College of MedicineKaohsiungTaiwanChina Liver Transplantation Center Department of Diagnostic RadiologyKaohsiung Chang Gung Memorial HospitalChang Gung University College of MedicineKaohsiungTaiwanChina

Introduction Within the last decade,progress in transplant and surgical oncology has been *** liver oncology alone,there has been concurrent technological innovation across the different adjunct fields and tiers of oncology related to hepatocellular carcinoma(HCC),progressing in quite an unprecedented *** improvements in our capacity to diagnose and prognosticate HCC with increasing sensitivity,specificity,and predictability is being *** now better understand that staging,treatment and prognostication cannot be determined on a static basis of tumor burden(i.e.,tumor size and number)alone and a“one size fits all”*** individualized assessment is now mandatory in consideration of intra-and intertumoral heterogeneity and tumor biology in order to more precisely guide diagnostics and treatment options(1).

关键词： hepatocellular alone donor

Staged ligation of large portosystemic collaterals in living donor liver transplantation using a small-for-size graft

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Hepatobiliary Surgery and Nutrition 2020年第4期9卷 555-557页

作者： Chao-Long Chen Chee-Chien Yong Jeffrey Samuel Co Chih-Yi Chen aldwin ong Chih-Che Lin Yu-Fan Cheng Liver Transplantation Center Department of SurgeryKaohsiung Chang Gung Memorial HospitalKaohsiung diagnostic Radiology Kaohsiung Chang Gung Memorial HospitalKaohsiung

The success of using a partial graft for liver transplantation depends highly on portal venous flow as it is the primary determinant of graft *** collaterals(PSCs)are not uncommon,with an incidence reported to be as h... 详细信息

关键词： collateral graft donor