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供体肺获取:评估与手术技术

Donor lung procurement: assessment and operative technique.

作者信息

Sundaresan S, Trachiotis G D, Aoe M, Patterson G A, Cooper J D

机构信息

Department of Surgery, Washington University School of Medicine, Barnes Hospital, St. Louis, Missouri 63110.

出版信息

Ann Thorac Surg. 1993 Dec;56(6):1409-13. doi: 10.1016/0003-4975(93)90699-i.

DOI:10.1016/0003-4975(93)90699-i
PMID:8267453
Abstract

Given the relative scarcity of suitable donors and the widespread application of cardiac and pulmonary transplantation, it is imperative that a heart and two lungs be extracted from each donor. From increasing clinical experience and laboratory investigation in lung preservation, more flexible criteria for the assessment of potential lung donors are emerging. In this communication, we present our current criteria of donor lung suitability, and a simple and reliable technique of combined cardiopulmonary extraction that has provided suitable heart and lung grafts with excellent preservation, used in our last 150 donor organ procurements.

摘要

鉴于合适供体相对稀缺以及心肺移植的广泛应用,从每个供体获取一颗心脏和两个肺脏势在必行。随着肺脏保存方面临床经验的增加和实验室研究的开展,评估潜在肺脏供体的标准越来越灵活。在本交流中,我们介绍了我们目前的供体肺脏适用性标准,以及一种简单可靠的心肺联合摘取技术,该技术在我们最近150例供体器官获取中提供了保存良好的合适心脏和肺脏移植物。

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1
Donor lung procurement: assessment and operative technique.供体肺获取:评估与手术技术
Ann Thorac Surg. 1993 Dec;56(6):1409-13. doi: 10.1016/0003-4975(93)90699-i.
2
[How to increase availability of grafts in lung transplantion: ex vivo lung reconditioning - cardiac death donors - high emergency list].[如何提高肺移植中移植物的可用性:体外肺修复 - 心脏死亡供体 - 高紧急名单]
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A technique for donor lung procurement and preservation for transplantation after completion of cardiac donation.一种在心脏捐赠完成后进行供体肺获取及保存以用于移植的技术。
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Non-heart-beating donors.非心脏跳动供体
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Donor heart and lung procurement: A consensus statement.供心和供肺获取:共识声明。
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Distant organ procurement in clinical lung- and heart-lung transplantation. Cooling by extracorporeal circulation or hypothermic flush.临床肺移植和心肺联合移植中的远距离器官获取。通过体外循环或低温灌注进行降温。
Eur J Cardiothorac Surg. 1990;4(5):245-9. doi: 10.1016/1010-7940(90)90247-w.
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Innovative pulmonary preservation of non-heart-beating donor grafts in experimental lung transplantation.实验性肺移植中无心跳供体移植物的创新性肺保存
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[Organ donation from a brain-dead patient. Donor criteria, organ-preserving therapy and discussion with the relatives].[来自脑死亡患者的器官捐献。供体标准、器官保存治疗以及与亲属的讨论]
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Separate extraction of cardiac and pulmonary grafts from a single organ donor.从单一器官供体中分别提取心脏和肺脏移植物。
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引用本文的文献

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J Thorac Dis. 2024 Dec 31;16(12):8656-8668. doi: 10.21037/jtd-24-1699. Epub 2024 Dec 27.
2
Cadaver surgical training for brain-dead donor lung procurement: Educational note.脑死亡供体肺获取的尸体手术训练:教学笔记
JTCVS Tech. 2023 Aug 11;21:261-264. doi: 10.1016/j.xjtc.2023.07.026. eCollection 2023 Oct.
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Influence of De Novo Malignancies on Long-Term Survival after Lung Transplantation.
新发恶性肿瘤对肺移植术后长期生存的影响。
Cancers (Basel). 2023 Aug 7;15(15):4011. doi: 10.3390/cancers15154011.
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Airway Complications after Lung Transplantation-A Contemporary Series of 400 Bronchial Anastomoses from a Single Center.肺移植术后气道并发症——来自单一中心的400例支气管吻合术的当代系列研究
J Clin Med. 2023 Apr 23;12(9):3061. doi: 10.3390/jcm12093061.
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Donor Selection, Management, and Procurement for Lung Transplantation.肺移植的供体选择、管理与获取
J Chest Surg. 2022 Aug 5;55(4):277-282. doi: 10.5090/jcs.22.068.
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The outcome of lung transplantation for end-stage pulmonary diseases with pulmonary hypertension: a single-center experience.终末期肺部疾病合并肺动脉高压患者肺移植的结局:单中心经验
J Thorac Dis. 2022 Apr;14(4):1020-1030. doi: 10.21037/jtd-21-1738.
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Developments in lung transplantation over the past decade.过去十年间肺移植的发展。
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