2度の臓器搬送を要し冷阻血時間が長時間となった脳死肝移植の1例

概要

論文の詳細を見る
A 17-year-old male underwent a deceased donor liver transplantation (DDLT) due to ornithine transcarbamylase deficiency. The deceased liver required the second delivery, and therefore the cold ischemia time was prolonged to approximately 14 hours. After DDLT, his liver function was improved except for an episode of biliary anastomotic stricture,which was finally revised by hepatico-jejunostomy. Acute kidney injury, which transiently required hemodialysis during the perioperative period, occurred possibly because of the prolonged cold ischemia time. In the setting of a DDLT in Japan, it is essential to promote the maximizing of the liver organs possible to transplant, such as an effective utilization of organs from extended-criteria donors.
一般社団法人日本移植学会の論文