CAJ | 학술논문

目的探讨脑死亡儿童供肝成人移植的临床可行性,总结1例脑死亡儿童供肝成人移植的临床体会.方法受者为39岁女性,诊断为原发性肝癌,肝炎后肝硬化(失代偿期).供者为脑肿瘤脑死亡的8岁儿童,供肝采用快速联合脏器切取方法获取.手术方式为经典原位肝移植.术后常规给予免疫抑制、防治感染、护肝、支持等治疗.结果移植手术历时6 h.术后无严重并发症发生,受者健康存活,门诊随访肝功能正常.结论儿童供肝成人移植技术是可行的.系统化的供肝评估、良好的手术技巧及完善的术后处理是确保手术成功的关键.
목적 탐토뇌사망인동공간성인이식적림상가행성,총결1례뇌사망인동공간성인이식적림상체회.방법 수자위39세녀성,진단위원발성간암,간염후간경화(실대상기).공자위뇌종류뇌사망적8세인동,공간채용쾌속연합장기절취방법획취.수술방식위경전원위간이식.술후상규급여면역억제、방치감염、호간、지지등치료.결과 이식수술력시6 h.술후무엄중병발증발생,수자건강존활,문진수방간공능정상.결론 인동공간성인이식기술시가행적.계통화적공간평고、량호적수술기교급완선적술후처리시학보수술성공적관건.
Objective To explore clinical feasibility of liver transplant from child of brain death to adult, to summarize the clinical experiences that a child of brain death transplants liver to an adult. Methods The recipient was a 39-year-old woman patient with primary hepatic carcinoma and posthepatitis cirrhosis (decompensation stage); while the donor was a 8-old-year child of brain death because of brain neoplasms. Donated liver was gained by the method of en bloc multivisceral procurement in a short time; the operative method was classic orthotopic liver transplantation. The postoperative managements included immunosuppression, prevention of infection, hepatic protection, and other relevant supports etc. Results The transplantation operative duration was 6 hours, after which not only did the recipient survive but also her body functioned well including the liver part, with no severe postoperative complications. Conclusions The technology of transplanting livers from children to adults is feasible. The key to ensure the success of transplant operation is systematic preoperative evaluation, excellent operative technique, and perfect postoperative treatment.