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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vmireaviz</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник медицинского института «РЕАВИЗ». Реабилитация, Врач и Здоровье</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2226-762X</issn><issn pub-type="epub">2782-1579</issn><publisher><publisher-name>РЕАВИЗ</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.20340/vmi-rvz.2023.5.TX.1</article-id><article-id custom-type="elpub" pub-id-type="custom">vmireaviz-853</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Донорство и трансплантация органов и тканей</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Organ and tissue donation and transplantation</subject></subj-group></article-categories><title-group><article-title>Ретрансплантация печени в современной концепции лечения её терминальных поражений (обзор литературы)</article-title><trans-title-group xml:lang="en"><trans-title>Liver retransplantation in the modern concept of treatment of its terminal pathology (literature review)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6604-0927</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ахмедов</surname><given-names>А. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Akhmedov</surname><given-names>A. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ахмедов Амир Русланович - врач-хирург, научный сотрудник центра трансплантации печени,</p><p>Большая Сухаревская пл., д. 3, Москва, 129090</p></bio><bio xml:lang="en"><p>Amir R. Akhmedov - Surgeon, researcher at the Liver transplantation Center,</p><p>3 Bolshaya Sukharevskaya Square, Moscow, 129090</p></bio><email xlink:type="simple">anosova.kate@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6362-7914</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Новрузбеков</surname><given-names>М. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Novruzbekov</surname><given-names>M. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новрузбеков Мурад Сафтарович - д-р мед. наук, профессор, научный руководитель центра трансплантации печени; заведующий кафедрой трансплантологии и искусственных органов, Большая Сухаревская пл., д. 3, Москва, 129090;</p><p>профессор кафедры хирургических болезней, ул. Островитянова д. 1, Москва, 117997</p></bio><bio xml:lang="en"><p>Murad S. Novruzbekov - Dr. Sci. (Med.), Professor, Scientific Director of the Liver Transplantation Center; Head of the Department of Transplantology and Artificial Organs, 3 Bolshaya Sukharevskaya Square, Moscow, 129090;</p><p>Professor of the Department of Surgical Diseases, 1 Ostrovityanova str., Moscow, 117997</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8650-0855</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гуляев</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gulyaev</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гуляев Владимир Алексеевич - д-р мед. наук, ведущий научный сотрудник центра трансплантации печени, врач-хирург, </p><p>Большая Сухаревская пл., д. 3, Москва, 129090</p></bio><bio xml:lang="en"><p>Vladimir A. Gulyaev - Dr. Sci. (Med.), leading researcher at the Liver Transplantation Center, surgeon,</p><p>3 Bolshaya Sukharevskaya Square, Moscow, 129090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0691-5581</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Олисов</surname><given-names>О. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Olisov</surname><given-names>O. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Олисов Олег Даниелович - д-р мед. наук, старший научный сотрудник центра трансплантации печени,</p><p>Большая Сухаревская пл., д. 3, Москва, 129090</p></bio><bio xml:lang="en"><p>Oleg D. Olisov - Dr. Sci. (Med.), Senior Researcher at the Liver Transplantation Center,</p><p>3 Bolshaya Sukharevskaya Square, Moscow, 129090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2305-4055</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Луцык</surname><given-names>К. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Lutsyk</surname><given-names>K. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Луцык Константин Николаевич - д-р мед. наук, врач-хирург, заведующий отделением трансплантации печени,</p><p>Большая Сухаревская пл., д. 3, Москва, 129090</p></bio><bio xml:lang="en"><p>Konstantin N. Lutsyk - Dr. Sci. (Med.), Surgeon, Head of the Liver Transplantation Department,</p><p>3 Bolshaya Sukharevskaya Square, Moscow, 129090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5057-6628</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Магомедов</surname><given-names>К. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Magomedov</surname><given-names>K. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Магомедов Кубай Магомедович - врач-хирург, научный сотрудник центра трансплантации печени,</p><p>Большая Сухаревская пл., д. 3, Москва, 129090</p></bio><bio xml:lang="en"><p>Kubay M. Magomedov - Surgeon, researcher at the liver transplantation center,</p><p>3 Bolshaya Sukharevskaya Square, Moscow, 129090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5723-4818</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Казымов</surname><given-names>Б. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kazymov</surname><given-names>B. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Казымов Бахтияр Исметович - врач-хирург, научный сотрудник центра трансплантации печени, Большая Сухаревская пл., д. 3, Москва, 129090;</p><p>ассистент кафедры хирургических болезней, ул. Краснобогатырская, д. 2, стр. 2, Москва, 107564</p><p> </p></bio><bio xml:lang="en"><p>Bakhtiyar I. Kazymov - Surgeon, researcher at the Liver Transplantation Center, 3 Bolshaya Sukharevskaya Square, Moscow, 129090;</p><p>Assistant of the Department of Surgical Diseases, 2 Krasnobogatyrskaya str., p. 2, Moscow, 107564</p><p> </p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2264-7038</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алекберов</surname><given-names>К. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Alekberov</surname><given-names>K. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алекберов Кямран Файгович - врач-хирург, научный сотрудник центра трансплантации печени,</p><p>Большая Сухаревская пл., д. 3, Москва, 129090</p></bio><bio xml:lang="en"><p>Kyamran F. Alekberov - Surgeon, researcher at the Liver Transplantation Center,</p><p>3 Bolshaya Sukharevskaya Square, Moscow, 129090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0241-1298</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аносова</surname><given-names>Е. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Anosova</surname><given-names>E. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Аносова Екатерина Юрьевна - врач-клинический ординатор центра трансплантации печени,</p><p>Большая Сухаревская пл., д. 3, Москва, 129090</p></bio><bio xml:lang="en"><p>Ekaterina Yu. Anosova - Clinical resident of the liver transplantation Center,</p><p>3 Bolshaya Sukharevskaya Square, Moscow, 129090</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5889-8675</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Яремин</surname><given-names>Б. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Yaremin</surname><given-names>B. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Яремин Борис Иванович - канд. мед. наук, врач-хирург, научный сотрудник центра трансплантации печени, Большая Сухаревская пл., д. 3, Москва, 129090;</p><p>доцент кафедры трансплантологии и искусственных органов, ул. Островитянова д. 1, Москва, 117997;</p><p>заведующий кафедрой хирургических болезней, ул. Краснобогатырская, д. 2, стр. 2, Москва, 107564</p></bio><bio xml:lang="en"><p>Boris I. Yaremin - Cand. Sci. (Med.), Surgeon, Researcher at the Liver Transplantation Center, 3 Bolshaya Sukharevskaya Square, Moscow, 129090;</p><p>Associate Professor of the Department of Transplantology and Artificial Organs, 1 Ostrovityanova str., Moscow, 117997;</p><p>Head of the Department of Surgical Diseases, 2 Krasnobogatyrskaya str., p. 2, Moscow, 107564</p></bio><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.V. Sklifosovsky Research Institute of Emergency Medicine</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского;&#13;
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.V. Sklifosovsky Research Institute of Emergency Medicine;&#13;
N.I. Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского;&#13;
Московский медицинский университет «Реавиз»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.V. Sklifosovsky Research Institute of Emergency Medicine;&#13;
Moscow Medical University "Reaviz"</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского;&#13;
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова;&#13;
Московский медицинский университет «Реавиз»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.V. Sklifosovsky Research Institute of Emergency Medicine;&#13;
N.I. Pirogov Russian National Research Medical University;&#13;
Moscow Medical University "Reaviz"</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>08</day><month>10</month><year>2023</year></pub-date><volume>13</volume><issue>5</issue><fpage>153</fpage><lpage>160</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ахмедов А.Р., Новрузбеков М.С., Гуляев В.А., Олисов О.Д., Луцык К.Н., Магомедов К.М., Казымов Б.И., Алекберов К.Ф., Аносова Е.Ю., Яремин Б.И., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Ахмедов А.Р., Новрузбеков М.С., Гуляев В.А., Олисов О.Д., Луцык К.Н., Магомедов К.М., Казымов Б.И., Алекберов К.Ф., Аносова Е.Ю., Яремин Б.И.</copyright-holder><copyright-holder xml:lang="en">Akhmedov A.R., Novruzbekov M.S., Gulyaev V.A., Olisov O.D., Lutsyk K.N., Magomedov K.M., Kazymov B.I., Alekberov K.F., Anosova E.Y., Yaremin B.I.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vestnik.reaviz.ru/jour/article/view/853">https://vestnik.reaviz.ru/jour/article/view/853</self-uri><abstract><p>Наиболее частыми причинами потери трансплантата печени являются первично нефункциопирующий трансплантат (ПНФТ), тромбоз печёночной артерии (ТПА), рецидивирующие исходные заболевания и хроническое отторжение. Ведущим показанием к ретрансплантации у детей является ТПА. Годичная выживаемость после ретрансплантации составляет примерно 75 %. Снижение затрат на ретрансплантацию органов и экономическая эффективность процедуры остаются спорными вопросами. Математическое моделирование выявило несколько значимых донорских и реципиентских факторов, влияющих на исходы повторной трансплантации. Несмотря на этические и экономические соображения, ретрансплантация является единственным вариантом для пациентов, перенёсших трансплантацию, у которых трансплантаты не прижились. Решение о ретрансплантации должно приниматься с некоторой осмотрительностью, с полным мультидисциплинарным подходом в больших многопрофильных центрах трансплантации.</p></abstract><trans-abstract xml:lang="en"><p>The work is devoted to the analysis of modern literature data and approaches in performing repeated liver transplantation. The most frequent causes of liver graft loss are PNFT, HAT, recurrent initial disease and chronic rejection. The leading indication for retransplantation in children is HAT. The one-year survival rate after retransplantation is approximately 75%. Reducing the cost of organ retransplantation and the cost-effectiveness of the procedure are controversial issues. Mathematical modeling has identified several significant recipient and donor factors affecting the outcomes of retransplantation. Despite ethical and economic considerations, retransplantation is the only option for transplant patients whose grafts have failed to engraft. The decision to retransplant should be made with some caution, with full multi-type approach in large multidisciplinary transplant centers.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>трансплантация печени</kwd><kwd>первично нефункционирующий трансплантат</kwd><kwd>лист ожидания</kwd><kwd>ретрансплантация</kwd><kwd>релистинг</kwd></kwd-group><kwd-group xml:lang="en"><kwd>liver transplantation</kwd><kwd>primary non-functioning graft</kwd><kwd>waiting list</kwd><kwd>retransplantation</kwd><kwd>relisting</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">SRTR Annual Report 2009. Available at: http://www.srtr.org/annual_Reports/default.aspx. Accessed October 22, 2014.</mixed-citation><mixed-citation xml:lang="en">1 SRTR Annual Report 2009. Available at: http://www.srtr.org/annual_Reports/default.aspx. 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