Using a Graft Arrival Time Estimation Formula Decreases Operation Time in Transplantation From Deceased Donor.

IF 2.3 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Journal of Korean Medical Science Pub Date : 2025-08-04 DOI:10.3346/jkms.2025.40.e175

Dae Kyun Ryu, Ja Eun Lee, SoRa Cha, Gaab Soo Kim

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Abstract

Background: Prolonged operation time is a risk factor for negative clinical outcomes in deceased donor transplantation. Implementing a graft arrival time estimation formula to facilitate communication among the transplantation team and to determine the start time for deceased donor liver transplantation (LT) or kidney transplantation (KT) may help reduce operation time.

Methods: This was a single-center retrospective study reviewing adult deceased donor LT or KT recipients. Cases between January 2017 and August 2018 were categorized as the pre-formula group, while those between September 2019 and July 2021 were categorized as the formula group. The operation time and the cold ischemic time were compared between the two groups.

Results: Out of 336 recipients reviewed, 227 cases were included in the analysis. In LT, the operation time and the time from anesthesia induction to the start of the anhepatic phase were significantly shorter in the formula group than in the pre-formula group. In KT, the operation time and the time from anesthesia induction to graft insertion were significantly shorter in the formula group than in the pre-formula group. Cold ischemic time in both LT and KT did not differ between the two groups.

Conclusion: Using a graft arrival time estimation formula to facilitate communication may reduce operation time for deceased donor LT and KT.

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使用移植物到达时间估计公式可减少死亡供体移植的手术时间。

背景：手术时间延长是死亡供体移植患者临床预后不良的危险因素。实施移植物到达时间估计公式，以方便移植团队之间的沟通，并确定死者供肝移植（LT）或肾移植（KT）的开始时间，有助于减少手术时间。方法：这是一项单中心回顾性研究，研究对象为成年已故肾移植或KT受体。2017年1月至2018年8月为预配方组，2019年9月至2021年7月为配方组。比较两组手术时间和冷缺血时间。结果：在336例受检者中，有227例纳入分析。在LT中，配方组的手术时间和麻醉诱导至无肝期开始的时间均明显短于预配方组。在KT中，处方组的手术时间和麻醉诱导至移植物插入的时间均明显短于预处方组。两组间LT和KT的冷缺血时间无差异。结论：采用移植物到达时间估算公式，便于沟通，可减少已故供体LT和KT的手术时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Korean Medical Science 医学-医学：内科

CiteScore

7.80

自引率

8.90%

发文量

320

审稿时长

3-6 weeks

期刊介绍： The Journal of Korean Medical Science (JKMS) is an international, peer-reviewed Open Access journal of medicine published weekly in English. The Journal’s publisher is the Korean Academy of Medical Sciences (KAMS), Korean Medical Association (KMA). JKMS aims to publish evidence-based, scientific research articles from various disciplines of the medical sciences. The Journal welcomes articles of general interest to medical researchers especially when they contain original information. Articles on the clinical evaluation of drugs and other therapies, epidemiologic studies of the general population, studies on pathogenic organisms and toxic materials, and the toxicities and adverse effects of therapeutics are welcome.