Fujimura S, Kondo T
Tohoku Welfare Pension Hospital, Sendai, Japan.
Kyobu Geka. 2000 Nov;53(12):986-91.
After the establishment of transplantation law, the right pulmonary transplantation was done from the brain dead donor for the first time in Japan at the attached hospital of Institute of Development, Aging and Cancer, Tohoku University on March 29, 2000. The woman in 30's had been deteriorated from progressive lymphangiomyomatosis since 1984. She was waiting for the right lung transplantation in the related hospital of the Institute Hospital since May, 1999. A brain dead donor appeared in Tokyo. After receiving the information from Japan Organ Transplant Network, we immediately started for Tokyo in order to procure the lung. We carried the right lung by Shinkansen. The lung of the donor was transplanted to the patient under the partial extracorporeal circulation on March 29, 2000. The total operating time was 6 hours and 7 minutes: 5 hours and 20 minutes for total ischemic period of the lung and 2 hours and 7 minutes for using extracorporeal circulation. The total amount of bleeding during the operation was 3,695 ml. Postoperative course of the transplanted patient was fair except chylothorax in the operated side, which was successfully controlled by intrathoracic infusion with OK-432. The transplanted patient was discharged from the hospital after 75 days postoperatively.
移植法确立后，2000年3月29日，在东北大学发育、衰老与癌症研究所附属医院，日本首次为一名脑死亡供体进行了右肺移植手术。该名30多岁的女性自1984年起因进行性淋巴管平滑肌瘤病病情恶化。自1999年5月起，她一直在该研究所医院的相关医院等待右肺移植。一名脑死亡供体出现在东京。收到日本器官移植网络的信息后，我们立即动身前往东京获取肺部。我们乘坐新干线运送右肺。2000年3月29日，在部分体外循环下将供体的肺移植给了患者。总手术时间为6小时7分钟：肺的总缺血时间为5小时20分钟，使用体外循环的时间为2小时7分钟。手术期间的总出血量为3695毫升。移植患者的术后病程顺利，只是手术侧出现了乳糜胸，通过胸腔内注入OK-432成功得到控制。移植患者术后75天出院。
