Rapid liver and kidney graft procurement:a report of 138 cases
- VernacularTitle:改良法快速肝肾供体联合切取的探讨
- Author:
Junming XU
;
Zhihai PENG
;
Qiang XIA
;
Xueming DAI
;
Zhecheng ZHU
;
Ning XU
;
Zhaowen WANG
- Publication Type:Journal Article
- Keywords:
Liver transplantation;
Kidney transplantation;
Combined liver-kidney procurement
- From:
Chinese Journal of General Surgery
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience of rapid liver and kidney graft harvesting. Methods From Jan 2001 to Sep 2003,a quick procedure for combined liver and kidney procurement were used in 138 cases. The procedure includes in situ perfusion through aorta and superior mesenteric vein(SMV) plus drainage through inferior vena cava. Liver,pancreas,spleen and kidney were harvested en bloc. Results The warm ischemia time averaged at 2 to 6 minutes for kidneys and 3 to 8 minutes for livers. The total procurement time averaged at 20 to 30 minutes. All aberrant arteries were preserved. After transplantation there was no primary non-function in all 131 liver grafts,and the peak sALT level during the first 3 post-operative days was (581?392) U/L. Acute tubular necrosis rate was 3.3%(9/274) in renal grafts. Conclusion[WT5”BZ] This rapid procurement protects the quality of liver and kidney simultaneously. It is a simple,effective,safe and reasonably standardized procedure.
