[Clinical research of donor liver procurement and preparation in liver transplantation].
OBJECTIVE
To summarize the experience of donor liver procurement and preparation in liver transplantation.


METHODS
One hundred and twenty-six cases of donor liver and kidney procurement and 105 cases of donor liver preparation from August, 2004 to December, 2006 were analyzed. The 105 donor liver grafts were all used for orthotopic liver transplantation.


RESULTS
The warm ischemia time of the graft ranged from 1 to 8.5 min with a mean of 4 min. The time of graft procurement ranged from 19 to 28 min (mean 22.5 min). Donor liver preparation lasted for 38 to 102 min in the 105 cases, with a mean of 51 min. The cold ischemia time of the donor liver was 5.5 to 13 h (mean 8 h). Anatomical variations were identified in 8 of the donor liver grafts.


CONCLUSIONS
Cold perfusion of the donor liver and repair of the hepatic artery are important procedures in donor liver procurement and preparation. Hemorrhage due to the donor graft should be prevented and the procedures should be performed in close cooperation with the recipient operation.
Lin
Yi-xiong
YX
Department of Hepatobiliary Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China. ebear1978@hotmail.com
Zhou
Jie
J
Lin
Jian-hua
JH
Wang
Yu
Y
Zhang
Guo-wei
GW
Cui
Zhong-lin
ZL
Li
Xiang-hong
XH
Tan
Yong-fa
YF
D000328:Adult; D005260:Female; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D009926:Organ Preservation / Q000379:methods*; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000379:methods*; D055815:Young Adult