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Вестник трансплантологии и искусственных органов

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История педиатрической трансплантации печени: от истоков до современности

https://doi.org/10.15825/1995-1191-2025-3-33-45

Аннотация

Статья посвящена историческим аспектам становления и развития педиатрической трансплантации печени, начиная с первых экспериментальных операций и завершая современными высокотехнологичными подходами. Трансплантация печени у детей на протяжении всего периода своего развития неоднократно становилась драйвером инноваций и новых хирургических методик. Первые попытки трансплантации печени у детей были сопряжены с многочисленными техническими и иммунологическими трудностями и характеризовались крайне высокой летальностью. Поворотным моментом стало внедрение циклоспорина А в 1980-е годы. В этот же период начали использоваться редуцированные трансплантаты, сплит-трансплантация и впервые были выполнены успешные операции от живых родственных доноров. 1990-е годы ознаменовались дальнейшим прогрессом в области хирургических техник, внедрением такролимуса и развитием технологии пересадки правой доли печени от живого донора, что существенно расширило донорский пул и улучшило результаты операций. В начале XXI века в практику вошли трансплантации при АВ0-несовместимости, новые системы аллокации органов, основанные на шкалах MELD и PELD. Кроме того, началось активное внедрение мини-инвазивных лапароскопических и робот-ассистированных технологий, позволяющих снизить травматичность операций у доноров. Педиатрическая трансплантация печени стала не только эффективным методом лечения терминальных стадий печеночной недостаточности у детей, но и значимым катализатором инноваций, продолжающим формировать новые направления современной трансплантологии. Отмечена важность дальнейшего совершенствования методик и индивидуализации иммуносупрессивной терапии с целью повышения долгосрочной выживаемости и качества жизни реципиентов.

Об авторах

А. Р. Монахов
ФГБУ «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)
Россия

Монахов Артем Рашидович - руководитель отделения трансплантации печени

123182, Москва, ул. Щукинская, д. 1

Тел. (906) 078-16-21



С. В. Готье
ФГБУ «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)
Россия

Готье Сергей Владимирович - доктор медицинских наук, профессор, академик РАН, Директор НМИЦ ТИО им. ак. В.И. Шумакова; заведующий кафедрой Трансплантологии и Искусственных Органов Первого МГМУ им. И.М. Сеченова Минздрава России (Сеченовский Университет).

Москва



О. М. Цирульникова
ФГБУ «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)
Россия

Цирульникова Ольга Мартеновна - доктор медицинских наук, врач-гепатолог НМИЦ ТИО им. ак. В.И. Шумакова; профессор кафедры Трансплантологии и Искусственных Органов Первого МГМУ им. И.М. Сеченова Минздрава России (Сеченовский Университет).

Москва



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Рецензия

Для цитирования:


Монахов А.Р., Готье С.В., Цирульникова О.М. История педиатрической трансплантации печени: от истоков до современности. Вестник трансплантологии и искусственных органов. 2025;27(3):33-45. https://doi.org/10.15825/1995-1191-2025-3-33-45

For citation:


Monakhov A.R., Gautier S.V., Tsirulnikova O.M. Evolution of pediatric liver transplant: from inception to modern practice. Russian Journal of Transplantology and Artificial Organs. 2025;27(3):33-45. (In Russ.) https://doi.org/10.15825/1995-1191-2025-3-33-45

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ISSN 1995-1191 (Print)