Clinical application of lung transplantation with size reduced graft lung
10.3760/cma.j.issn.1673-4904.2009.29.004
- VernacularTitle:经裁剪供体肺的临床应用研究
- Author:
Xin XU
;
Hanzhang CHEN
;
Weiqiang YIN
;
Dong XIAO
;
Bing WEI
;
Jun LIU
;
Yuan QIU
;
Linhu GE
;
Jianxing HE
- Publication Type:Journal Article
- Keywords:
Lung transplantation;
Transplantation,homologous;
Living donors;
Size-match
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(29):11-13
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report the experience of lung transplantation with size reduced graft lung.Methods Four cases receiving lung transplantation with size reduced graft lung were analyzed retrospectively.In case 1,left lung transplantation combined with contra-hteral lung volume mduction.In case 2,right lung transplantation Wag individually performed with partially msecfion of upper lobe of graft lung.In case 3.bilateral sequential lung transplantation wag performed using graft lung with partially resection of bilateral upper lobes.In the remained ease,bilateral sequential lung tansplantation was performed using graft lung with resection of right lower lobe.Results All the size reduced graft lungs had good functions during the peri-operation period.Case 1 and case 2 still survived without obvious complication.Case 3 experienced temporary air leak on the 5th day postoperation and cured by water seal drainage but died of abrupt bronchorrhea due to aspergillus infection on the 32th day postoperation.The last cage experienced smoothly recovery excepted fatal virus pneumonia 2 months postopemtion.Conclusion Size reduced graft lungs can be successfully used for transplantation.