中华器官移植杂志
中華器官移植雜誌
중화기관이식잡지
CHINESE JOURNAL OF ORGAN TRANSPLANTATION
2013年
1期
24-27
,共4页
鞠卫强%何晓顺%王东平%袁小鹏%巫林伟%邰强%郭志勇%韩明%赵强%朱晓峰
鞠衛彊%何曉順%王東平%袁小鵬%巫林偉%邰彊%郭誌勇%韓明%趙彊%硃曉峰
국위강%하효순%왕동평%원소붕%무림위%태강%곽지용%한명%조강%주효봉
心脏死亡%组织供者%器官切取
心髒死亡%組織供者%器官切取
심장사망%조직공자%기관절취
Cardiac death%Tissue dornors%Organ procurement
目的 对心脏死亡器官捐赠(DCD)中供者器官切取手术方法的特点与技巧进行总结,观察器官移植后移植物的功能.方法 回顾性分析26例DCD供者器官切取的临床资料,分别采用上腹部多器官联合切取法和肝肾分别切取法切取供者器官.结果 26例供者器官的平均热缺血时间为4 min(1～10 min),器官切取手术操作顺利,器官切取手术平均耗时为27min(20～45min).共获得供肝22个,供肾44个,上腹部多器官(包括肝脏、胰腺和十二指肠)2个；所获取器官进行肝移植24例(其中2例供肝进行劈离式肝移植供给4例受者),肾移植42例(其中2例供者的双肾进行双肾移植),上腹部多器官移植2例.所有移植手术均顺利,移植器官的功能恢复良好,未出现原发性移植物无功能等并发症.结论 在DCD器官切取手术中,上腹部多器官联合切取法和肝肾分别切取法的手术步骤简捷、安全可靠,要求术者掌握熟练的外科技巧,动作迅速准确,能最大限度减少供者器官的热缺血时间,以保证获取高质量的供者器官.
目的 對心髒死亡器官捐贈(DCD)中供者器官切取手術方法的特點與技巧進行總結,觀察器官移植後移植物的功能.方法 迴顧性分析26例DCD供者器官切取的臨床資料,分彆採用上腹部多器官聯閤切取法和肝腎分彆切取法切取供者器官.結果 26例供者器官的平均熱缺血時間為4 min(1～10 min),器官切取手術操作順利,器官切取手術平均耗時為27min(20～45min).共穫得供肝22箇,供腎44箇,上腹部多器官(包括肝髒、胰腺和十二指腸)2箇；所穫取器官進行肝移植24例(其中2例供肝進行劈離式肝移植供給4例受者),腎移植42例(其中2例供者的雙腎進行雙腎移植),上腹部多器官移植2例.所有移植手術均順利,移植器官的功能恢複良好,未齣現原髮性移植物無功能等併髮癥.結論 在DCD器官切取手術中,上腹部多器官聯閤切取法和肝腎分彆切取法的手術步驟簡捷、安全可靠,要求術者掌握熟練的外科技巧,動作迅速準確,能最大限度減少供者器官的熱缺血時間,以保證穫取高質量的供者器官.
목적 대심장사망기관연증(DCD)중공자기관절취수술방법적특점여기교진행총결,관찰기관이식후이식물적공능.방법 회고성분석26례DCD공자기관절취적림상자료,분별채용상복부다기관연합절취법화간신분별절취법절취공자기관.결과 26례공자기관적평균열결혈시간위4 min(1～10 min),기관절취수술조작순리,기관절취수술평균모시위27min(20～45min).공획득공간22개,공신44개,상복부다기관(포괄간장、이선화십이지장)2개；소획취기관진행간이식24례(기중2례공간진행벽리식간이식공급4례수자),신이식42례(기중2례공자적쌍신진행쌍신이식),상복부다기관이식2례.소유이식수술균순리,이식기관적공능회복량호,미출현원발성이식물무공능등병발증.결론 재DCD기관절취수술중,상복부다기관연합절취법화간신분별절취법적수술보취간첩、안전가고,요구술자장악숙련적외과기교,동작신속준학,능최대한도감소공자기관적열결혈시간,이보증획취고질량적공자기관.
Objective To investigate the methods and techniques for organ procurement from donation after cardiac death (DCD),and to evaluate post-transplant outcomes.Methods In this retrospective study,clinical data of 26 cases of DCD organ procurements were analyzed through either epigastric multivisceral organ harvesting or solitary organ harvesting.Results Twenty livers,44 kidneys and 2 multivisceral grafts were procured,followed by 24 cases of liver transplantation,42 cases of kidney transplantation,and 2 cases of multivisceral transplantation.The operations were successful and all transplanted organs were satisfactorily recovered with no primary nonfunction or other complications observed.Conclusion Our methods and techniques for organ procurement from DCD donors require experienced surgery skills,while can maximatily shorten donor organ ischemic time,guarantee procurement of high quality of organs and ensure a favourable transplant outcomes.
