[瑞典肾脏交换计划中的首次捐赠与移植手术]

[First donations and transplantations performed in Swedish kidney exchange program].

作者信息

Wennberg Lars, Lindnér Per, Linders Johan, Bengtsson Mars, Sedigh Amir, Andersson Tommy

机构信息

Karolinska Universitetsjukhuset i Huddinge - Patientområde Transplantation Huddinge, Sweden Karolinska institutet Department of Clinical Sciences Intervention and Technology - Department of Transplantation Surgery Huddinge, Sweden.

Sahlgrenska universitetssjukhuset - Transplantationscentrum Goteborg, Sweden Sahlgrenska universitetssjukhuset - Transplantationscentrum Goteborg, Sweden.

出版信息

Lakartidningen. 2019 Jun 11;116:FL4A.

PMID:31192380

Abstract

This article describes the Swedish kidney exchange program (STEP) and the first donations and transplantations that were performed in October 2018. A total of six parallel surgical procedures resulted in three kidney donations and three kidney transplantations. Two months after the operations, all recipients had good and stable kidney function and all donors had recovered. We argue that four specific problems must be addressed in order for the program to reach its full potential. These modifications are related to the information structure, a Scandinavian expansion, the role of ABO-incompatible transplants, and more sophisticated matching techniques.

摘要

本文介绍了瑞典肾脏交换计划（STEP）以及2018年10月进行的首例捐赠和移植情况。总共六台平行外科手术促成了三例肾脏捐赠和三例肾脏移植。术后两个月，所有受者的肾功能良好且稳定，所有捐赠者均已康复。我们认为，为使该计划充分发挥潜力，必须解决四个具体问题。这些改进涉及信息结构、斯堪的纳维亚地区的扩展、ABO血型不相容移植的作用以及更复杂的匹配技术。