vtioВестник трансплантологии и искусственных органовRussian Journal of Transplantology and Artificial Organs1995-1191Academician V.I.Shumakov National Medical Research Center of Transplantology and Artificial Organs", Ministry of Health of the Russian Federation10.15825/1995-1191-2026-1-69-76vtio-2001Research ArticleКлиническая трансплантологияClinical TransplantologyМетоды проведения вспомогательного кровообращения при трансплантации печени у пациентов высокого хирургического риска (обзор литературы)Methods of venovenous bypass during liver transplantation in high-risk surgical patients (a literature review)БондаренкоД. М.BondarenkoD. M.

Бондаренко Денис Михайлович

123182, Москва, ул. Щукинская, д. 1. Тел. (903) 274-39-57

Denis Bondarenko

1, Shchukinskaya str., Moscow, 123182

Phone: (903) 274-39-57

bdm_2004@mail.ruМонаховА. Р.MonakhovA. R.

Москва

Moscow

ЗубенкоС. И.ZubenkoS. I.

Москва

Moscow

БолдыревМ. А.BoldyrevM. A.

Москва

Moscow

ФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава РоссииРоссияShumakov National Medical Research Center of Transplantology and Artificial OrgansRussian FederationФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России; ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Минздрава России (Сеченовский университет)РоссияShumakov National Medical Research Center of Transplantology and Artificial Organs; Sechenov UniversityRussian Federation2026310320262816976Copyright © Бондаренко Д.М., Монахов А.Р., Зубенко С.И., Болдырев М.А., 20262026Бондаренко Д.М., Монахов А.Р., Зубенко С.И., Болдырев М.А.Bondarenko D.M., Monakhov A.R., Zubenko S.I., Boldyrev M.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.transpl.ru/vtio/article/view/2001

Методика перенаправления кровотока из нижней полой вены (НПВ) и портального русла при операциях трансплантации печени (ТП) обладает рядом преимуществ, главным из которых является предотвращение гипоперфузионных интраоперационных осложнений.

Материалы и методы

Материалы и методы. Поиск литературы в базах данных Scopus, PubMed и РИНЦ проводили по ключевым словам: «обход печени», «трансплантация печени с применением вено-венозного обхода/шунтирования», «вспомогательное кровообращение при операциях на печени», «вспомогательное кровообращение при трансплантации печени», «история развития трансплантологии» с начала 1960-х по 2025 год. Проанализировано 162 публикации в отечественных и зарубежных журналах, в обзор были включены 44 публикации.

Результаты

Результаты. Анализ отечественной и мировой литературы демонстрирует единую концепцию применения систем при вено-венозном шунтировании (ВВШ), а также общие преимущества и недостатки имеющихся методик. ВВШ остается актуальным методом, обеспечивающим гемодинамическую стабильность и улучшающим исходы у реципиентов после ТП. Особое внимание уделяется новой системе и методу проведения ВВШ с использованием оксигенатора/теплообменника и венозного резервуара с возможностью выполнения непрерывной заместительной почечной терапии (НЗПТ). Современная методика ВВШ характеризуется созданием условий для выполнения хирургического вмешательства с высоким уровнем безопасности пациента во время процедуры.

Background

Background. The technique of redirecting blood flow from the inferior vena cava (IVC) and portal vein during liver transplantation (LT) offers several advantages, the most important of which is the prevention of intraoperative hypoperfusion-related complications.

Materials and methods

Materials and methods. A literature search was performed in the Scopus, PubMed, and Russian Science Citation Index (RSCI) databases using the following keywords: «liver bypass», «liver transplantation with venovenous bypass/shunting,» «assisted circulation during liver surgery,» «assisted circulation during liver transplantation», and «history of transplantology» from the early 1960s through 2025 were considered. In total, 162 articles from Russian and foreign journals were analyzed, of which 44 met the inclusion criteria and were included in the review.

Results

Results. An analysis of Russian and foreign literature reveals a unified concept regarding the use of venovenous bypass (VVB) systems, as well as the general advantages and limitations of existing techniques. VVB remains a relevant method for maintaining hemodynamic stability and improving postoperative outcomes in liver transplant recipients. Particular attention is given to a novel system and technique for performing VVB that incorporates an oxygenator/heat exchanger and a venous reservoir, allowing the simultaneous use of continuous renal replacement therapy (CRRT). Modern cardiopulmonary bypass techniques are characterized by the creation of optimal conditions for surgical intervention, ensuring a high level of patient safety throughout the procedure.

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The authors declare that there are no conflicts of interest present.