{"title":"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。","authors":"Dae Kyun Ryu, Ja Eun Lee, SoRa Cha, Gaab Soo Kim","doi":"10.3346/jkms.2025.40.e175","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Using a graft arrival time estimation formula to facilitate communication may reduce operation time for deceased donor LT and KT.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 30","pages":"e175"},"PeriodicalIF":2.3000,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322587/pdf/","citationCount":"0","resultStr":"{\"title\":\"Using a Graft Arrival Time Estimation Formula Decreases Operation Time in Transplantation From Deceased Donor.\",\"authors\":\"Dae Kyun Ryu, Ja Eun Lee, SoRa Cha, Gaab Soo Kim\",\"doi\":\"10.3346/jkms.2025.40.e175\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Using a graft arrival time estimation formula to facilitate communication may reduce operation time for deceased donor LT and KT.</p>\",\"PeriodicalId\":16249,\"journal\":{\"name\":\"Journal of Korean Medical Science\",\"volume\":\"40 30\",\"pages\":\"e175\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-08-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322587/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Korean Medical Science\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3346/jkms.2025.40.e175\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Korean Medical Science","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3346/jkms.2025.40.e175","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Using a Graft Arrival Time Estimation Formula Decreases Operation Time in Transplantation From Deceased Donor.
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.
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.
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