Hyun Seungji, Haam Seokjin
Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Suwon, Korea.
J Chest Surg. 2022 Aug 5;55(4):283-287. doi: 10.5090/jcs.22.060.
The shortage of donor lungs has become a serious obstacle to implementing lung transplantation (LTx). Donation after circulatory death (DCD) donors are among the several donor pools utilized to overcome the problem posed by the shortage of donation after brain death (DBD) donors. The active use of DCD donors is expected to significantly reduce mortality on the waiting list for LTx, as LTx from DCD donors has comparable outcomes to LTx from DBD donors. Further studies on efforts to shorten the warm ischemic time and use uncontrolled DCD are required.
供体肺短缺已成为实施肺移植(LTx)的严重障碍。心脏死亡后捐赠(DCD)供体是为克服脑死亡后捐赠(DBD)供体短缺所带来问题而利用的几个供体库之一。由于来自DCD供体的肺移植与来自DBD供体的肺移植结果相当,积极使用DCD供体有望显著降低LTx等待名单上的死亡率。需要进一步研究缩短热缺血时间和使用非控制性DCD的努力。