Clinical research of donor liver procurement and preparation in liver transplantation.
- Author:
Yi-xiong LIN
1
;
Jie ZHOU
;
Jian-hua LIN
;
Yu WANG
;
Guo-wei ZHANG
;
Zhong-lin CUI
;
Xiang-hong LI
;
Yong-fa TAN
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Female; Humans; Liver Transplantation; Male; Middle Aged; Organ Preservation; methods; Tissue Donors; Tissue and Organ Procurement; methods; Young Adult
- From: Journal of Southern Medical University 2010;30(5):1012-1014
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo summarize the experience of donor liver procurement and preparation in liver transplantation.
METHODSOne 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.
RESULTSThe 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.
CONCLUSIONSCold 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.
