心脏死亡器官捐赠中器官切取的手术方法与技巧总结  

Methods and techniques for organ procurement from donation after cardiac death

作　　者：鞠卫强[1] 何晓顺[1] 王东平[1] 袁小鹏[1] 巫林伟[1] 邰强[1] 郭志勇[1] 韩明[1] 赵强[1] 朱晓峰[1] 

机构地区：[1]中山大学附属第一医院器官移植中心,广州510080

出　　处：《中华器官移植杂志》2013年第1期24-27,共4页Chinese Journal of Organ Transplantation

基　　金：广东省科技计划项目（20108031600200）;广东省医学科研基金（A2010149）

摘　　要：目的对心脏死亡器官捐赠（DCD）中供者器官切取手术方法的特点与技巧进行总结，观察器官移植后移植物的功能。方法回顾性分析26例DCD供者器官切取的临床资料，分别采用上腹部多器官联合切取法和肝肾分别切取法切取供者器官。结果26例供者器官的平均热缺血时间为4rain（110min），器官切取手术操作顺利，器官切取手术平均耗时为27min（20-45min）。共获得供肝22个，供。肾44个，上腹部多器官（包括肝脏、胰腺和十二指肠）2个；所获取器官进行肝移植24例（其中2例供肝进行劈离式肝移植供给4例受者），肾移植42例（其中2例供者的双肾进行双肾移植），上腹部多器官移植2例。所有移植手术均顺利，移植器官的功能恢复良好，未出现原发性移植物无功能等并发症。结论在DCD器官切取手术中，上腹部多器官联合切取法和肝肾分别切取法的手术步骤简捷、安全可靠，要求术者掌握熟练的外科技巧，动作迅速准确，能最大限度减少供者器官的热缺血时间，以保证获取高质量的供者器官。Objective To investigate the methods and techniques for organ procurement from donation after cardiac death （DCD）, and to evaluate post-transplant outcomes. Methods In this retrospective study, clinical data of 26 cases of DCD organ procurements were analyzed through either epigastric multivisceral organ harvesting or solitary organ harvesting. Results Twenty livers, 44 kidneys and 2 multivisceral grafts were procured, followed by 24 cases of liver transplantation, 42 cases of kidney transplantation, and 2 cases of multivisceral transplantation. The operations were successful and all transplanted organs were satisfactorily recovered with no primary nonfunction or other complications observed. Conclusion Our methods and techniques for organ procurement from DCD donors require experienced surgery skills, while can maximatily shorten donor organ ischemic time, guarantee procurement of high quality of organs and ensure a favourable transplant outcomes.

关 键 词：心脏死亡 组织供者 器官切取 

分 类 号：R654.2[医药卫生—外科学]