[肝移植中供肝获取与准备的临床研究]
[Clinical research of donor liver procurement and preparation in liver transplantation].
作者信息
Lin Yi-xiong, Zhou Jie, Lin Jian-hua, Wang Yu, Zhang Guo-wei, Cui Zhong-lin, Li Xiang-hong, Tan Yong-fa
机构信息
Department of Hepatobiliary Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
出版信息
Nan Fang Yi Ke Da Xue Xue Bao. 2010 May;30(5):1012-4.
OBJECTIVE
To summarize the experience of donor liver procurement and preparation in liver transplantation.
METHODS
One hundred and twenty-six cases of donor liver and kidney procurement and 105 cases of donor liver preparation from August, 2004 to December, 2006 were analyzed. The 105 donor liver grafts were all used for orthotopic liver transplantation.
RESULTS
The warm ischemia time of the graft ranged from 1 to 8.5 min with a mean of 4 min. The time of graft procurement ranged from 19 to 28 min (mean 22.5 min). Donor liver preparation lasted for 38 to 102 min in the 105 cases, with a mean of 51 min. The cold ischemia time of the donor liver was 5.5 to 13 h (mean 8 h). Anatomical variations were identified in 8 of the donor liver grafts.
CONCLUSIONS
Cold perfusion of the donor liver and repair of the hepatic artery are important procedures in donor liver procurement and preparation. Hemorrhage due to the donor graft should be prevented and the procedures should be performed in close cooperation with the recipient operation.
目的
总结肝移植中供肝获取与修整的经验。
方法
分析2004年8月至2006年12月期间126例供肝及供肾获取病例以及105例供肝修整病例。105例供肝均用于原位肝移植。
结果
移植物热缺血时间为1至8.5分钟，平均4分钟。移植物获取时间为19至28分钟（平均22.5分钟）。105例供肝修整持续时间为38至102分钟，平均51分钟。供肝冷缺血时间为5.5至13小时（平均8小时）。8例供肝移植物存在解剖变异。
结论
供肝冷灌注及肝动脉修复是供肝获取与修整中的重要步骤。应防止供体移植物出血，且这些操作应与受体手术密切配合进行。
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