Abstract:

Objective To investigate the methods and techniques for organ procurement from Chinesefirst category infant donation after cardiac death，and to evaluate post-transplant outcomes. Methods In this retrospective study, clinical data of 6 cases of Chinese first category infant donation after cardiac death organprocurements were analyzed Modified epigastric multivisceral organ harvesting were performed in all of thecases. Results The average warm ischemia time was 2 minutes（1.0 ～ 3.6 minutes）with the average procurementtime of 46 minutes（36 ～ 58 minutes）. Six livers and 12 kidneys were procured followed by 6 cases of livertransplantation，6 cases of en-bloc kidney transplantation. All of the recipients were healthy for 3 ~ 16 months follow-up without primary non-function and other complications except one who underwent transplant nephrectomy due to renal vein thrombosis on post operation day 7. Conclusion Modified epigastric multivisceral organ harvesting is a safe method for organ procurement from Chinese first category infant donation after cardiac deathguaranteeing procurement of high quality of organs.

摘要：

目的 对中国一类器官捐献婴幼儿供者腹部器官切取手术方法的特点与技巧进行总结，观察器官移植后移植物的功能。方法 回顾性分析 2012 年 7 月至 2014 年 6 月天津市第一中心医院 6 例中国一类器官捐献婴幼儿供者器官切取的临床资料，采用改良上腹部多器官联合切取法切取供者器官。结果 6 例供者器官的平均热缺血时间为 2 分钟（1.0 ～ 3.6 分钟），器官切取手术操作顺利，切取手术平均时间为46 分钟（36 ～ 58 分钟）。共获得供肝 6 个，供肾 12 个 ；所获取器官进行肝移植 6 例，肾移植 6 例（双肾移植）。1 例肾移植受者术后 7 天因肾静脉血栓切除移植肾，其他移植手术均顺利，移植器官的功能恢复良好，未出现原发性移植物无功能等并发症。随访 3 ～ 16 个月，都健康存活。结论 在中国一类器官捐献婴幼儿供者器官切取手术中，应用改良的上腹部多器官联合切取法，安全可靠，可以保证获取高质量的供者器官。

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