Pediatric Liver Transplantation Unit, Hospital Universitario Valle de Hebron, Autonomous University of Barcelona, Barcelona, Spain.
Am J Transplant. 2011 May;11(5):1091-7. doi: 10.1111/j.1600-6143.2011.03489.x. Epub 2011 Mar 28.
The face is the latest body structure to be added to the field of transplantation and the learning curve is ongoing. In the scenario of multiorgan recovery, the face is a nonvital 'organ' structure compared with other life-saving organs. To date, the face has been the first 'organ' to be procured in a multiorgan procurement. A technique for simultaneous recovery of the whole face, heart, lungs, liver, pancreas and kidneys is described. Thirty professionals participated in the procedure, of whom 13 were surgeons. No tracheotomy was performed. A mask of the donor's face was made from a mold impression. Duration of the procedure from skin incision to the end of surgery was 7.3 h. The face was perfused with Wisconsin solution through a cannula inserted into the aortic arch between the origin of the brachiocephalic arterial trunk and the left subclavian artery. Blood requirements consisted of 4 units of packed red blood cells. After the procedure, the mask was placed on the donor's face. All recovered grafts functioned immediately. In summary, simultaneous multiorgan procurement including the whole face is feasible, effective and saves time without jeopardizing life-saving organs and without the need for tracheotomy.
面部是最近被添加到移植领域的身体结构，学习曲线仍在继续。在多器官恢复的情况下，与其他救命器官相比，面部是一个非关键的“器官”结构。迄今为止，面部是多器官获取中第一个被获取的“器官”。本文描述了一种同时获取整个面部、心脏、肺、肝、胰腺和肾脏的技术。30 名专业人员参与了该过程，其中 13 名是外科医生。未进行气管切开术。使用从模具印模中制作的供体面部面罩。从皮肤切口到手术结束的手术时间为 7.3 小时。通过插入升主动脉头臂干和左锁骨下动脉之间的主动脉弓的套管来灌注面部的威斯康星溶液。血液需求包括 4 个单位的浓缩红细胞。手术后，将面罩放在供体的脸上。所有恢复的移植物立即开始发挥功能。总之，包括整个面部的同时多器官获取是可行的、有效的，可以节省时间，而不会危及救命器官，也不需要进行气管切开术。
