van Goor H, Hordijk W, van Wezel H B, Boll A P, Klemm P L, van der Vliet J A
Afd. Heelkunde, Academisch Ziekenhuis, Nijmegen.
Ned Tijdschr Geneeskd. 1998 Dec 26;142(52):2843-6.
If organ donations concern not only the kidneys, but also the liver, pancreas and, sometimes, the heart and (or) lungs, several surgical removal teams, often from different (foreign) transplantation centres, may be involved. This has created organizatory problems resulting in loss of organs for transplantation. In the Nijmegen area since October 1994 a removal team has been active that in the regional donor hospital removes all abdominal organs from the donor on behalf of the various transplantation centres. This regional removal team performed 105 multi-organ explanations in the period from October 1994 to December 1997. The reports that came back from the transplantation centres that had received the organs showed that none of these organs had been lost for transplantation through organizatory problems or anatomical damage. Experiences of operating room staff involved were positive: it was especially the standard surgical techniques and the quiet in the operating room that were appreciated. Special removal teams may greatly improve the evolution of organ donation in the Netherlands.
如果器官捐献不仅涉及肾脏，还包括肝脏、胰腺，有时还涉及心脏和（或）肺脏，那么通常来自不同（外地）移植中心的几个手术摘除团队可能会参与其中。这就产生了组织方面的问题，导致用于移植的器官丢失。自1994年10月以来，在奈梅亨地区有一个摘除团队一直很活跃，该团队在地区捐赠医院代表各个移植中心从捐赠者身上摘除所有腹部器官。这个地区摘除团队在1994年10月至1997年12月期间进行了105次多器官摘除手术。从接收这些器官的移植中心反馈回来的报告显示，这些器官没有一个因组织问题或解剖损伤而在移植过程中丢失。参与其中的手术室工作人员的反馈是积极的：特别受到赞赏的是标准的手术技术和手术室里的安静氛围。专门的摘除团队可能会极大地推动荷兰器官捐献事业的发展。
