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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。
OBJECTIVE: To summarize the characteristics and techniques of abdomen organ harvesting for first-class organ donation in China and observe the function of the graft after organ transplantation. Methods The clinical data of 6 cases of organ donation from infants and young donors in China First Central Hospital from July 2012 to June 2014 were retrospectively analyzed. The donor organs were excised by modified multi-organ combined with upper abdomen. Results The average time of warm ischemia in 6 donors was 2 minutes (1.0-3.6 minutes). The operation of organ harvesting was successful. The average time of resection was 46 minutes (36-58 minutes). A total of 6 donor kidneys were obtained, 12 for kidneys, 6 for liver transplantation and 6 for kidney transplantation (double renal transplantation). One case of renal transplantation recipients received renal vein thrombectomy 7 days after operation. All the other transplants performed well and the function of transplanted organs recovered well. No complications such as primary graft non-functioned were found. Follow-up 3 to 16 months, all survived. Conclusion In China, organ donation for first-class organs donated to infants and young children’s organs is performed safely and reliably with improved multi-organ combined ablation of the upper abdomen, which can ensure high-quality donor organs.