Geiran O, Pettersson G
Kirurgisk avdeling A, Rikshospitalet, Oslo.
Nord Med. 1994;109(12):332-4, 337.
As alternative methods of lung transplantation are available, in terminal respiratory or combined cardio-respiratory failure, the surgical procedure can be chosen to suit the needs of the individual recipient in accordance with the philosophy of the transplant centre. At one Scandinavian centre the preferred procedure has been en bloc double lung transplantation with bronchial artery revascularisation, whereas at another centre the preference is for single lung transplantation if considered suitable in view of the pathology resulting in respiratory failure. Short-term results compare favourably with international registry standards. Problems commonly occurring in lung transplantation irrespective of the method, are reviewed in the article.
由于存在其他肺移植方法,对于终末期呼吸衰竭或心肺联合衰竭患者,可根据移植中心的理念选择适合个体受者需求的手术方式。在一个斯堪的纳维亚中心,首选的手术方式是整块双肺移植并进行支气管动脉血管重建,而在另一个中心,如果考虑到导致呼吸衰竭的病理情况认为合适,则更倾向于单肺移植。短期结果与国际登记标准相比具有优势。本文回顾了肺移植中无论采用何种方法通常都会出现的问题。