Short-term outcome in living donors for lung transplantation: the role of preoperative computer tomographic evaluations of fissures and vascular anatomy
Open Access
- 24 February 2012
- journal article
- research article
- Published by Frontiers Media SA in Transplant International
- Vol. 25 (7), 732-738
- https://doi.org/10.1111/j.1432-2277.2012.01444.x
Abstract
Successful living‐donor lobar lung transplantation (LDLLT) largely depends on donor outcome. We reviewed our experiences with LDLLT and focused on preoperative computed tomographic evaluations of donors. Twenty‐five LDLLTs were performed in Kyoto University. As a routine preoperative assessment, high‐resolution chest computed tomography (CT), and three‐dimensional (3D)‐CT angiography were performed. Preoperative evaluations, surgical procedures, and early postoperative outcomes were reviewed in 43 consecutive LDLLT donors. All donors were discharged home after the donor lobectomies. Severely incomplete fissures were intraoperatively identified in two donors, whose interlobar fissures were mostly not identified by high resolution CT preoperatively. Preoperative 3D‐CT angiography was effective for the identification of the branches of the pulmonary artery and vein. Pulmonary arterioplasties were performed with auto pericardial patches in three left donors. The bilateral donors had to be exchanged because of an anomaly of the pulmonary veins in one donor. Small pulmonary arterial branches to the remaining lobes were to be sacrificed in 23 donors (53%). Early postoperative complications were ascertained in seven donors, and five of them presented air leak‐related complications. Living donor lobectomies were safely performed with low morbidities in our institution. Preoperative computer tomographic evaluations might be useful in donor lobectomies.Keywords
This publication has 16 references indexed in Scilit:
- Outcomes and pulmonary function in living lobar lung transplant donorsTransplant International, 2011
- Comparison of pulmonary function test and computed tomography volumetry in living lung donorsThe Journal of Heart and Lung Transplantation, 2011
- Computed tomography measurement of lung volume in preoperative assessment for living donor lung transplantation: Volume calculation using 3D surface rendering in the determination of size compatibilityPediatric Transplantation, 2009
- Complicações relacionadas à lobectomia em doadores de transplante pulmonar intervivosJornal Brasileiro de Pneumologia, 2008
- Medical and Psychologic Outcome of Living Lobar Lung Transplant DonorsThe Journal of Heart and Lung Transplantation, 2006
- A Decade of Living Lobar Lung Transplantation: Perioperative Complications after 253 Donor LobectomiesAmerican Journal of Transplantation, 2004
- How to predict forced vital capacity after living-donor lobar-lung transplantationThe Journal of Heart and Lung Transplantation, 2004
- Living-donor lobar lung transplantation for various lung diseasesThe Journal of Thoracic and Cardiovascular Surgery, 2003
- Perioperative complications after living donor lobectomyThe Journal of Thoracic and Cardiovascular Surgery, 2000
- Living-donor lobar lung transplantation experience: Intermediate resultsThe Journal of Thoracic and Cardiovascular Surgery, 1996