腹部多器官联合切取的临床研究(附72例报告)  

Clinical study on techniques for cadaveric total abdominal evisceration

作　　者：孙煦勇[1] 赵月涛[1] 文海涛[1] 赖彦华[1] 谭刘欣[1] 董建辉[1] 叶常青[1] 武贵林[1] 赵东海[1] 李壮江[1] 

机构地区：[1]解放军第三○三医院移植中心,南宁市530021

出　　处：《中华肝胆外科杂志》2006年第5期316-318,共3页Chinese Journal of Hepatobiliary Surgery

基　　金：广西壮族自治区卫生厅科研基金项目(Z2005175)

摘　　要：目的探讨供体腹部多器官联合切取的手术方法。方法 2003年6月至2005年6月,采取原位灌注并联合切取供体肝、肾69例次,联合切取肝、肾、胰及十二指肠3例次。结果 72例次腹部多器官联合切取均获成功。热缺血时间为(2.2±0.6)min,建立灌注系统的时间为(1.7±0.4)min,切取时间为(17±3.2)min,在本院完成肝移植3例次,肝肾联合移植1例次,肾移植113例次;协作单位完成肝移植61例次,肾移植24例次,手术均获成功。结论供体原位灌注、腹部多器官联合切取可明显缩短热缺血时间,提高供体器官质量和利用率。Objective To improve the techniques for total abdominal evisceration. Methods The clinical data of 69 patients undergoing harvesting of kidney and liver and 3 receiving total abdominal evisceration in our hospital from June 2003 to June 2005 were retrospectively analyzed. Results The time for warm ischemia was 2.2±0.6 min, that for establishing the perfusion system 1.7±0.4 min and that for multiple organ harvesting 17±3.2 min, respectively. Consequently, 113 cases of kidney transplantation, 3 of liver transplantation and 1 of simultaneous liver-kidney transplantation were successfully performed in our hospital and 24 cases of kidney transplantation and 61 of liver transplantation were conducted in our centers. Conclusions In situ perfusion of donor organs and total abdominal evisceration can significantly shorten the time for warm ischemia to improve the quality of donor organs.

关 键 词：肝移植 多器官联合切取 肾移植 

分 类 号：R656[医药卫生—外科学] R617[医药卫生—临床医学]