このエントリーをはてなブックマークに追加
ID 57806
フルテキストURL
著者
Sugimoto, Seiichiro Department of General Thoracic SurgeryOkayama University Hospital Kaken ID
Kurosaki, Takeshi Department of Organ Transplant CenterOkayama University Hospital Kaken ID
Otani, Shinji Department of Organ Transplant CenterOkayama University Hospital
Tanaka, Shin Department of General Thoracic SurgeryOkayama University Hospital
Hikasa, Yukiko Department of Anesthesiology and ResuscitologyOkayama University Hospital
Yamane, Masaomi Department of General Thoracic SurgeryOkayama University Hospital Kaken ID
Toyooka, Shinichi Department of General Thoracic SurgeryOkayama University Hospital Kaken ID
Kobayashi, Motomu Department of Anesthesiology and ResuscitologyOkayama University Hospital Kaken ID
Oto, Takahiro Department of Organ Transplant CenterOkayama University Hospital Kaken ID
抄録
PURPOSE:
When patients are mechanically ventilated for more than 5 days, they are usually declined as donors for lung transplantation (LTx); thus, the long-term outcomes of LTx from such donors remain unclear. We investigated the feasibility of LTx from donors that had been mechanically ventilated for prolonged periods.
METHODS:
The subjects of this retrospective comparative investigation were 31 recipients of LTx from donors who had been mechanically ventilated for < 5 days (short-term group) and 50 recipients of LTx from donors who had been mechanically ventilated for ≥ 5 days (long-term group).
RESULTS:
The median duration of donor mechanical ventilation was 3 days in the short-term group and 8.5 days in the long-term group. However, other than the difference in the duration of donor ventilation, there were no significant differences in the clinical characteristics of the donors or recipients between the groups. The overall survival rate after LTx was comparable between the long-term group and short-term group (5-year survival rate, 66.6% vs. 75.2%).
CONCLUSION:
The potential inclusion of donors who have been on mechanical ventilation for more than 5 days could be a feasible strategy to alleviate donor organ shortage.
キーワード
Brain-dead donor
Extended-criteria donor
Lung transplantation
Marginal donor
Mechanical ventilation
発行日
2018-10-27
出版物タイトル
Surgery Today
49巻
3号
出版者
Springer
開始ページ
254
終了ページ
260
ISSN
0941-1291
NCID
AA10824685
資料タイプ
学術雑誌論文
言語
English
OAI-PMH Set
岡山大学
論文のバージョン
author
PubMed ID
DOI
Web of Science KeyUT
関連URL
isVersionOf https://doi.org/10.1007/s00595-018-1730-z
ライセンス
https://creativecommons.org/licenses/by-nc-nd/4.0/