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題 名 | Techniques for Cadaveric Organ Procurement: Analysis of 89 Cadaveric Donors=摘取屍體捐贈器官的技術:89例屍體器官捐贈者的分析 |
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作 者 | 王華斌; 謝輝和; 鄭元佐; 江朝洋; | 書刊名 | 臺灣外科醫學會雜誌 |
卷 期 | 36:5 民92.09-10 |
頁 次 | 頁214-219 |
分類號 | 416.175 |
關鍵詞 | 屍體; 器官捐贈; Organ procurement; Technique; Complication; |
語 文 | 英文(English) |
英文摘要 | Purpose: Two different techniques for multiple cadaveric organ procurement were published by Starzl et al. Since multiple organ procurement and transplan-tation are becoming increasingly popular in Taiwan, we hoped to establish a standard procurement technique for different organ procurement teams. Materials and methods: We analyzed 89 cadaveric donors, including 52 kidney-only donors and 37 multi-organ donors, harvested from August 1987 to December 2002. Harvesting techniques were reviewed in relation to posttransplant complications from the kidney transplantation point of view. Results: Among 176 kidneys retrieved, six kidneys were discarded due to iatrogenic damage. Two cases of renal vein thrombosis and 4 cases of ureter complications were encountered in the recipients, which might be related to procurement procedures. Conclusion: We suggest 1) preservation of aereolar tissue on the surface of the inferior vena cava and renal veins by both the liver and kidney teams, 2) sharp transection of the inferior vena cava and aorta by the liver team, 3) avoidance of vascular clamp application caudal to the superior mesenteric artery by the liver team,4) avoidance of lateral traction of both kidneys upon large vessel dissection by the kidney team. |
本系統中英文摘要資訊取自各篇刊載內容。