腹部多器官联合切取的临床研究.pdf

·论著· 腹部多器官联合切取的临床研究 (附72例报告) 孙煦勇 赵月涛文海涛赖彦华谭刘欣 董建辉叶常青武贵林赵东海李壮江 【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。 【关键词】肝移植； 多器官联合切取； 肾移植 Clinicalon forcadaverictotalabdominaleviscerationSUN Yuetao， studytechniques Xuyong，ZHA0 WENHaitao，et Center，303 530021，P． a1．OrganTransplantationHospitalofPLA，Nanning R．C危ina To the fortotalabdominalevisceration．Methods [Abstract]Objectiveimprovetechniques Theclinicaldataof69 of andliverand3 totalabdomi- patientsundergoingharvestingkidney receiving naleviscerationinour from 2003tO 2005were hospitalJune June retrospectivelyanalyzed．Results Thetimeforwarmischemiawas for the 2．2±0．6min，that 1．7±0．4 establishingperfusionsystem rainandthatfor 17±3．2 casesofkid— multipleorganharvestingrain，respectively．Consequently，113 ofliver and1 ofsimultaneous were neytransplantation，3transplantation liver-kidneytransplantation inour and24casesof and61ofliver successfullyperformedhospital kidneytransplantation transplan— tationwereconductedinour Insitu ofdonor andtotalabdomi- centers．Conclusions perfusionorgans naleviscerationcan shortenthetimeforwarmischemiato the ofdonor significantly improvequality organs． abdominal [Keywords]Livertransplantation；Totaleviscerat