換肝

  • Indication :

    • Most : liver cirrhosis child C , Fulmunant hepatitis, Unresectable HCC but within UCSF expanded critiriae ….. -
  • Waiting list 順位

    • fulmanant 優先-> 再依據 MELD score 排序 (指標:Bil , Cr, INR )
    • contra-indication: 戒酒半年以內、active infection 、uncontrol cancer -
  • 健保給付換肝標準

    • Milan critiria : HCC 1pc <5cm or 3pc < 3cm; No major vascular invasion
  • UCSF Expanded Criteria

    • One lesion ≦6.5 cm or 2-3 lesions, none > 4.5 cm
    • Total diameter ≦8cm No major vascular invasion

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