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心肺移植的手术技术

Operative technique for heart-lung transplantation.

作者信息

Jamieson S W, Stinson E B, Oyer P E, Baldwin J C, Shumway N E

出版信息

J Thorac Cardiovasc Surg. 1984 Jun;87(6):930-5.

PMID:6427532
Abstract

Combined heart and lung transplantation has now been carried out in 17 patients at Stanford University Hospital. The emphasis on the management of donors is upon thorough tracheobronchial toilet and ensuring an absence of significant cardiopulmonary disease. The most important aspects of the recipient operation are to remove the heart and lungs without injury to the phrenic, vagus, or recurrent laryngeal nerves and to ensure hemostasis. This is best effected if the heart and lungs are removed separately. The operative technique for both the donor and recipient is described.

摘要

斯坦福大学医院现已对17名患者实施了心肺联合移植手术。供体管理的重点在于彻底的气管支气管清洁以及确保不存在严重的心肺疾病。受体手术最重要的方面是在不损伤膈神经、迷走神经或喉返神经的情况下摘除心脏和肺,并确保止血。如果分别摘除心脏和肺,这一点最容易实现。文中描述了供体和受体的手术技术。

相似文献

1
Operative technique for heart-lung transplantation.心肺移植的手术技术
J Thorac Cardiovasc Surg. 1984 Jun;87(6):930-5.
2
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3
Proper donor selection for heart-lung transplantation. The Stanford experience.心肺移植合适供体的选择。斯坦福大学的经验。
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4
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5
[Heart-lung transplantation].[心肺移植]
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6
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Three-year survival rates for all consecutive heart-only and lung-only transplants performed in Eurotransplant, 1997-1999.1997年至1999年在欧洲移植组织进行的所有连续单纯心脏移植和单纯肺移植的三年生存率。
Clin Transpl. 2003:89-100.
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[Heart-lung transplantation].
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10
Procurement for combined heart-lung transplantation. Bilateral thoracotomy with sternal transection, cardiopulmonary bypass, and profound hypothermia.心肺联合移植的采购。双侧开胸并横断胸骨、体外循环和深度低温。
J Thorac Cardiovasc Surg. 1985 May;89(5):795-9.

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West J Med. 1996 Dec;165(6):355-63.
6
Successful transplantation of marginally acceptable thoracic organs.边缘可接受的胸部器官的成功移植。
Ann Surg. 1993 May;217(5):518-22; discussion 522-4. doi: 10.1097/00000658-199305010-00012.
7
Combined heart and lung transplantation.心肺联合移植
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Bronchial reactivity to methacholine after combined heart-lung transplantation.心肺联合移植后支气管对乙酰甲胆碱的反应性
Thorax. 1988 Dec;43(12):955-9. doi: 10.1136/thx.43.12.955.
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