儿童公民逝世后器官捐献供肝获取与供肝修整经验

Experience of pediatric organ procurement and bench surgery from donation after citizen's death

目的总结儿童公民逝世后器官捐献(donation after citizen's death,DCD)供肝获取与供肝修整的经验。方法回顾性分析2013年1月-2016年6月47例DCD供肝获取与供肝修整的临床资料,总结获取与供肝修整体会。结果共获取47例儿童供体,其中肝移植利用34例,肾移植利用46例,其中双肾移植同一受体11例,共完成了器官移植115例。结论儿童DCD供肝获取及供肝修整在器官获取过程中,有其独特性,总结经验有助于提高手术的成功率。

Objective To summarize the experience of organ procurement and bench surgery from donation after citizen＇s death（DCD）. Method Analyze the clinical data of 47 pediatric DCD organ procurement and preparation from January 2013 to June 2016, and sum up the experience. Results A total number of 47 pediatric organs were procured, from which 34 livers and 46 kidneys were transplanted to 115 recipients. Eleven of 46 kidney donors were transplanted as en-bloc donors. Conclusion The risk of organ transplantation can be obviously reduced by regularly summarize the experience of organ procurement and preparation from pediatric DCD.