肝移植供肝获取和修整的临床研究  

Clinical research of donor liver procurement and preparation in liver transplantation

作　　者：林艺雄[1] 周杰[1] 林建华[1] 王宇[1] 张国伟[1] 崔忠林[1] 李湘竑[1] 谭永法[1] 

机构地区：[1]南方医科大学南方医院肝胆外科,广东广州510515

出　　处：《南方医科大学学报》2010年第5期1012-1014,共3页Journal of Southern Medical University

基　　金：广东省科技计划项目(2007B031514004);南方医院院长基金(2005005)

摘　　要：目的总结肝移植供肝获取和修整的临床经验。方法分析2004年8月～2007年12月共126例快速肝肾联合获取及105个供肝修整的资料,105个供肝均用于原位肝移植术。结果 126例供肝、肾热缺血时间为1～8.5min,平均4min。肝肾联合切取手术时间19～28min,平均22.5min。105个供肝修整时间38～102min,平均51min;冷缺血时间5.5～13h,平均8h;有8例供肝存在动脉变异。结论供肝获取和修整应强调器官灌注和动脉修整技术,预防供体因素导致的岀血,注意与受体手术组配合。Objective To summarize the experience of donor liver procurement and preparation in liver transplantation. Methods One hundred and twenty-six cases of donor liver and kidney procurement and 105 cases of donor liver preparation from August, 2004 to December, 2006 were analyzed. The 105 donor liver grafts were all used for orthotopic liver transplantation. Results The warm ischemia time of the graft ranged from 1 to 8.5 min with a mean of 4 min. The time of graft procurement ranged from 19 to 28 min （mean 22.5 min）. Donor liver preparation lasted for 38 to 102 min in the 105 cases, with a mean of 51 min. The cold ischemia time of the donor liver was 5.5 to 13 h （mean 8 h）. Anatomical variations were identified in 8 of the donor liver grafts. Conclusions Cold perfusion of the donor liver and repair of the hepatic artery are important procedures in donor liver procurement and preparation. Hemorrhage due to the donor graft should be prevented and the procedures should be performed in close cooperation with the recipient operation.

关 键 词：原位肝移植 器官获取 器官修整 供体 

分 类 号：R657.3[医药卫生—外科学]