[Study of surgical procedures of abdominal organ cluster transplantation].
OBJECTIVE
To evaluate the surgical procedures and therapeutic effect of organ cluster transplantation in treating abdominal multiple organ malignant tumors.


METHODS
Two patients with abdominal multiple organ malignant tumors received organ cluster transplantation in May and August 2004. The excised specimen included liver, pancreas, duodenum, stomach, spleen, mesenteric and epigastric lymph nodes. The transplanted organs included liver, pancreas, duodenum. Superior mesenteric artery was involved in the malignancy in one case and was transected and anastomosed to right common iliac artery.


RESULTS
The patients waked up 4 and 5 hours post operation and began recovering 3 and 5 days after. Dynamic examinations showed that the functions of grafted liver, pancreas and duodenum obtained normal function in 10 days post the transplantation. One patient survived for 12 months postoperatively and died of recurrence of cancer; The other recovered uneventfully after transplantation, and discharged automatically 20 days after.


CONCLUSIONS
Abdominal organ cluster transplantation is technically feasible and effective for patients with abdominal multiple organ malignant tumors.
Zhu
Xiao-feng
XF
Organ Transplantation Center, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. zxf111@hotmail.com
He
Xiao-shun
XS
Hu
An-bin
AB
Wang
Dong-ping
DP
Ma
Yi
Y
Wang
Guo-dong
GD
Qian
Shi-kun
SK
Ju
Wei-qiang
WQ
Wu
Lin-wei
LW
Tai
Qiang
Q
D000328:Adult; D004386:Duodenum / Q000637:transplantation*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D016035:Pancreas Transplantation; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D020858:Tissue and Organ Harvesting; D016896:Treatment Outcome