肺採取術

抄録

The key to cadaveric donor lung procurement is close collaboration with the other procurement teams, especially the donor heart procurement team which shares the surgical field throughout the entire process, local anesthesiologists, and the Japan Organ Transplant Network coordinators, reliable assessment of the donor lungs, and skillful and consistent surgical technique to complete the harvest without error within a limited time frame. In order to standardize these procurement procedures and present them to all lung procurement teams in Japan, a manual on cadaveric donor lung procurement has been published on the website of the Japan Society for Transplantation. The original version of this manual was prepared through a questionnaire survey conducted from March to May 2011 among seven lung transplant centers at that time to confirm surgical techniques and collect tips and pitfalls, followed by careful e-mail discussion and consensus building. From April to June 2021, another questionnaire was sent to 10 lung transplant centers, and after careful e-mail discussion, a revised version was created. In this process, the technique was reconfirmed and standardized among 10 centers. This article outlines the preparation, preoperative meeting, and procedure for donor lung procurement in the case of heart procurement, in accordance with the Lung Procurement Manual (revised edition 2021) of the Japan Society for Transplantation.