【連載・第11回】呼吸器内科医のための肺移植の診かた■生体肺移植手術■中島大輔ほか |

【連載】呼吸器内科医のための肺移植の診かた／A guide to lung transplant for pulmonologists

第11回（最終回）　←今ここ

第11回　生体肺移植手術

中島大輔^1，平間　崇^{2, *3}

^*1京都大学大学院医学研究科呼吸器外科（〒606-8507 京都府京都市左京区聖護院川原町54）

^*2東北大学加齢医学研究所呼吸器外科学分野　

^*3東北大学病院臓器移植医療部 

Living donor lobar lung transplant procedure

Daisuke Nakajima^*1, Takashi Hirama^*2,*3

^*1Department of Thoracic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan

^*2Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University

^*3Division of Organ Transplantation, Tohoku University Hospital

Keywords：生体ドナー，肺葉移植，臓器保存，体外膜型人工肺／living donor, lobar lung transplantation, organ preservation, extracorporeal membrane oxygenation

呼吸臨床 2023年7巻8号　論文No.e00177
Jpn Open J Respir Med 2023 Vol. 7 No. 8 Article No.e00177

DOI: 10.24557/kokyurinsho.7.e00177

掲載日：2023年8月8日

©️Daisuke Nakajima, et al. 本論文の複製権，翻訳権，上映権，譲渡権，貸与権，公衆送信権（送信可能化権を含む）は弊社に帰属し，それらの利用ならびに許諾等の管理は弊社が行います。

要旨

　生体肺移植は，ドナー肺摘出術，ドナー肺のフラッシング，レシピエント移植手術により構成される。健康なドナー2人から右下葉もしくは左下葉を摘出したのち，バックテーブルで冷却した臓器保存液にて，ドナー肺を順行性，逆行性にフラッシングする。レシピエント手術は，extracorporeal membrane oxygenation（ECMO）下に，右肺摘出，右ドナー肺の移植・再灌流，左肺摘出，左ドナー肺の移植・再灌流の順に行われる。移植手術の吻合は，気管支，肺静脈，肺動脈の順に行われる。本稿では，標準的な生体肺移植における各手術手技を重要なポイントを交えながら説明する。

文献

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