Combined resection of thoracic and abdominal organ clusters: a series of 50 cases
10.3760/cma.j.cn112139-20211109-00521
- VernacularTitle:胸腹腔器官簇联合切取技术的临床应用
- Author:
Silin LI
1
;
Xuyong SUN
;
Ke QIN
;
Ning WEN
;
Jixiang LIAO
;
Liugen LAN
;
Ying HUANG
;
Zhiying LEI
;
Qingdong SU
;
Jihua WU
Author Information
1. 广西医科大学第二附属医院移植医学中心，南宁 530007
- Keywords:
Organ transplantation;
Tissue and organ procurement;
Organ preservation;
Thoracoabdominal organs
- From:
Chinese Journal of Surgery
2022;60(8):774-778
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To examine the technique and effect of combined thoracic and abdominal organ clusters resection.Methods:From February 2019 to August 2021, totally 50 cases of combined thoracoabdominal organ cluster resection were completed at Transplant Medical Center, the Second Affiliated Hospital of Guangxi Medical University from donation after brain death donors. There were 47 males and 3 females, aging (34.8±12.3) years (range: 5 to 55 years). The length of hospital stay( M(IQR)) was 4(4) days (range: 2 to 43 days), the length of tube time was 4(2) days (range: 1 to 43 days). Through the midsternal incision and the abdominal grand cross incision, the cold perfusion was performing simultaneously when the perfusion lines of each target organ was established respectively. The combined resection was performed with the diaphragm as the boundary and the organ cluster as the unit. The heart and lung were separated on site and sent to the transplant hospital, and the abdominal organ cluster was directly preserved and returned to our hospital for further separation and repair. Results:Totaly 21 hearts, 47 pairs of lungs, 49 livers, 47 pairs of kidneys and 11 pancreas were harvested by this surgical treatment. The resection time was (32.6±6.5) minutes (range: 19 to 50 minutes), with no hot ischemia time. There was no accidental injury that affected organ quality and function. Heart transplantation was performed in 17 cases, combined heart-kidney transplantation in 2 cases, double lung transplantation in 43 cases, single lung transplantation in 6 cases, liver transplantation in 41 cases, combined liver-pancreas-duodenal cluster transplantation in 1 case, combined liver-kidney transplantation in 3 cases, combined pancreas-kidney transplantation in 9 cases, and kidney transplantation in 74 cases.Conclusion:Simultaneous perfusion and combined resection of thoracic and abdominal organ clusters for donation after brain death donors are feasible and effective.
