器官移植Issue(1)：51-54,58,5.DOI:10.3969/j.issn.1674-7445.2015.01.011
腹主动脉联合门静脉快速灌注法在器官捐献供体肝肾联合获取中的应用
Application of fast perfusion through abdominal aorta and portal vein in combined liver and kidney procurement from organ donation
摘要
Abstract
Objective To summarize the feasibility and safety of fast perfusion through abdominal aorta and portal vein in combined liver and kidney procurement from organ donation. Methods Clinical data of 43 donors of donation after cardiac death (DCD)undergoing combined liver and kidney procurement in the First People’s Hospital of Foshan from September 201 1 to June 2014 were analyzed retrospectively. Among the 43 donors,15 cases were China DCD donor category Ⅰ (donor after brain death) (C-Ⅰ),1 case was category Ⅱ (donor after cardiac death) (C-Ⅱ)and 27 cases were categoryⅢ(C-Ⅲ). Combined abdominal aorta and portal vein perfusion with fast cannulation were performed. Results The time from abdomen incision to abdominal aorta cannulation was 1.5-2.0 min. Forty-three livers and eighty-six kidneys were procured from 43 donors. The warm ischemia time (WIT)was 0 for C-Ⅰ donors,and was 3-21 min for the other donors (mean:10 min). Two liver grafts were discarded for major injury of the porta hepatis and severe fatty liver respectively. Eighteen kidney grafts were discarded for kidney stones, kidney atrophy, high level of preoperative serum creatinine,severe renal atherosclerosis,renal microvessel thrombosis,multiple renal cyst, kidney traumatic rupture,etc. The total discard rate of donor organs was 16%. Conclusions Fast perfusion through abdominal aorta and portal vein is a simple and safe method in combined procurement liver and kidney from organ donation.关键词
器官捐献/腹主动脉插管灌注/门静脉灌注/肝肾联合获取Key words
Organ donation/Abdominal aortic cannulation perfusion/Portal vein perfusion/Combined liver and kidney procurement分类
医药卫生引用本文复制引用
邓斐文,陈焕伟,甄作均,王峰杰,李杰原,胡健垣,计勇..腹主动脉联合门静脉快速灌注法在器官捐献供体肝肾联合获取中的应用[J].器官移植,2015,(1):51-54,58,5.基金项目
广东省医学科研基金（A2014697）；佛山市医学类科技攻关项目（2014AB00263）；佛山市卫生局医学科研基金 （）
