CAJ | 학술논문

目的对中国一类器官捐献婴幼儿供者腹部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2012年7月至2014年6月天津市第一中心医院6例中国一类器官捐献婴幼儿供者器官切取的临床资料，采用改良上腹部多器官联合切取法切取供者器官。结果6例供者器官的平均热缺血时间为2分钟（1.0～3.6分钟），器官切取手术操作顺利，切取手术平均时间为46分钟（36～58分钟）。共获得供肝6个，供肾12个；所获取器官进行肝移植6例，肾移植6例（双肾移植）。1例肾移植受者术后7天因肾静脉血栓切除移植肾，其他移植手术均顺利，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。随访3～16个月，都健康存活。结论在中国一类器官捐献婴幼儿供者器官切取手术中，应用改良的上腹部多器官联合切取法，安全可靠，可以保证获取高质量的供者器官。
목적대중국일류기관연헌영유인공자복부기관절취수술방법적특점여기교진행총결，관찰기관이식후이식물적공능。방법회고성분석2012년7월지2014년6월천진시제일중심의원6례중국일류기관연헌영유인공자기관절취적림상자료，채용개량상복부다기관연합절취법절취공자기관。결과6례공자기관적평균열결혈시간위2분종（1.0～3.6분종），기관절취수술조작순리，절취수술평균시간위46분종（36～58분종）。공획득공간6개，공신12개；소획취기관진행간이식6례，신이식6례（쌍신이식）。1례신이식수자술후7천인신정맥혈전절제이식신，기타이식수술균순리，이식기관적공능회복량호，미출현원발성이식물무공능등병발증。수방3～16개월，도건강존활。결론재중국일류기관연헌영유인공자기관절취수술중，응용개량적상복부다기관연합절취법，안전가고，가이보증획취고질량적공자기관。
Objective To investigate the methods and techniques for organ procurement from Chinese first category infant donation after cardiac death,and to evaluate post-transplant outcomes. Methods In this retrospective study, clinical data of 6 cases of Chinese first category infant donation after cardiac death organ procurements were analyzed Modified epigastric multivisceral organ harvesting were performed in all of the cases. Results The average warm ischemia time was 2 minutes(1.0~3.6 minutes)with the average procurement time of 46 minutes(36~58 minutes). Six livers and 12 kidneys were procured followed by 6 cases of liver transplantation,6 cases of en-bloc kidney transplantation. All of the recipients were healthy for 3 ~ 16 months follow-up without primary non-function and other complications except one who underwent transplant nephrectomy due to renal vein thrombosis on post operation day 7. Conclusion Modified epigastric multivisceral organ harvesting is a safe method for organ procurement from Chinese first category infant donation after cardiac death guaranteeing procurement of high quality of organs.