天津医药

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供者年龄超过55岁的成人间活体肝移植四例

崔子林1,2,张雅敏3,杨涛4,朱志军5,傅志仁1   

  1. 1. 第二军医大学长征医院
    2. 天津市第一中心医院
    3. 天津市第一中心医院移植外科
    4. 一中心
    5.
  • 收稿日期:2010-02-26 修回日期:2010-05-20 出版日期:2010-10-15 发布日期:2010-10-15
  • 通讯作者: 朱志军

Impact of Live Donor Age (>55) on Living Related Liver Transplantation

  • Received:2010-02-26 Revised:2010-05-20 Published:2010-10-15 Online:2010-10-15

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摘要： 目的：成人间活体肝移植中使用老年供者供肝对于供受者预后的影响研究的很少，本研究的目标是评价成人间活体肝移植55岁以上老年供者的年龄因素对于供受者术后结果的影响。方法：回顾分析天津市第一中心医院器官移植中心一个肝移植小组完成的4例55岁以上老年供者的活体肝移植的资料，分析这4例手术的供受者术后恢复情况。结果：所有供受者均存活，术后除1例供者肝功能恢复延迟外，其余供受者均正常恢复。结论：在活体肝移植中老年供者经过严格评估是可以采用。

关键词: 活体肝移植, 老年供者, 受者

Abstract: Objective: The question of whether donor age impacts donor and recipient outcomes in adult-to-adult living related liver transplantation (LRLT) was rarely discussed. The aim of this study was to evaluate the impact of older donor age (>55) on donor and recipient outcomes in adult-to-adult LRLT. Methods：LRLT Clinical data of both recipients and donors of the transplantation department of Tianjin first central hospital were retrospectively evaluated from our 4 LRLT cases of older donor age (>55). Results： Postoperative recovery of liver function for donors and recipient/graft survival were not influenced by donor age except for one donor. Conclusion：Selected right lobe donors from individuals who were 55 years of age or older can be used in adult-to-adult LRLT.

Key words: living related liver transplantation, elderly donor, recipient