无心跳供者肝肾联合切取的技术改良和临床应用  

A modified technique for combined liver and kidney procurement and its clinical application

作　　者：袁小鹏[1] 焦伟华[1] 李杰[1] 郭在柱[1] 高伟[1] 

机构地区：[1]广东省东莞市太平人民医院器官移植科中南大学湘雅移植医学研究院太平分院,广东东莞523905

出　　处：《海南医学》2006年第2期19-20,共2页Hainan Medical Journal

摘　　要：目的探讨快速肝肾联合切取方法的技术改良及其应用效果。方法采用改良快速肝肾联合切取法切取供体60例,主要改良点有:原位灌注和表面降温相结合、下腔静脉及时插管引流和原位切除肠管后肝胆胰脾肾整块切取。结果获取供肝60只和供肾120只,供肝和供肾存在变异的血管均保留完整。肝移植术后无原发性移植物无功能。肝肾联合切取组肾移植受者术后第4天血肌酐值与肾脏单独切取组比较无显著性差异(157μmol/Lvs.165μmol/L,P>0.05)。结论改良的快速肝肾联合切取方法能有效地同时保护供肝和供肾的质量。Objective To explore a modified technique for combined liver-kidney harvesting and its clinical application. Methods A modified technique for combined liver-kidney harvesting has been performed for 60 cases. The main modified points were as follows： in situ perfusian plus surface cooling, drainage through inferior vena cava, en bloc resection of liver, pancreas, spleen and kidneys after removal of the gastrointestinal tract. Results 60 livers and 120 kidneys were harvested, the aberrant arteries of the grafts were preserved well. There was no primary nonfunction of the transplanted liver. The serum creatinine levels of the renal transplant recipients at 4 days post-transplantation had no significant difference between the group of modified combined liver-kidney retrieval and the group of retrieval of kidneys alone（157μmol/L vs. 165μmol/L, P〉0.05）. Conclusions This modified procurement can pretect the quality of the liver and kidney simultaneously.

关 键 词：肝肾联合切取 肝移植 肾移植 

分 类 号：R617[医药卫生—外科学]