FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to liver surgery, and can be used to assess the functional reserves of the liver when deciding to withdraw it for the purpose of subsequent transplantation from donors with brain death. To do this, intravenous indocyanin green is administered at a rate of 0.5 mg per 1 kg of donor weight at least one hour before the blood flow stops or the organ is withdrawn. Then, after 15 minutes, the residual concentration of indocyanine green in blood (R15). When the value of R15 more than 6 % conclude liver unsuitable for transplantation. When value is less than 5 % – on the suitability of the donor organ for transplantation. If value is obtained in the range from 5 % to 6 % inclusive, the conclusion about the suitability of the donor organ for transplantation is made provided that the age of the donor is not older than 40 years, the time of cold ischemia is not more than 6 hours, and the body mass index is not more than 30.
EFFECT: method provides a rapid study of liver function of a potential donor with the death of the brain to make a decision about its possible use for transplantation, which causes a reduction in postoperative risks associated with the quality of the donor body.
1 cl, 1 tbl, 4 dwg
Title | Year | Author | Number |
---|---|---|---|
METHOD FOR EVALUATING AN EX SITU LIVER TRANSPLANT USING MULTISLICE COMPUTED TOMOGRAPHY TO DETERMINE THE POSSIBILITY OF PERFORMING SPLIT-TRANSPLANTATION | 2019 |
|
RU2710609C1 |
METHOD OF RECOVERING BLOOD CIRCULATION IN LIVER TRANSPLANTATION IN ABNORMAL STRUCTURE OF ARTERIAL BED OF LIVER TRANSPLANT | 2018 |
|
RU2691525C1 |
METHOD OF GLOBULAR BLOOD VOLUME CONTROL AND IMMUNOMODULATION ACCOMPANYING TRANSPLANTATION | 2011 |
|
RU2452519C1 |
METHOD FOR HYPOTHERMIC OXYGENATED PERFUSION IN LIVER AND KIDNEY TRANSPLANTATION | 2021 |
|
RU2773291C1 |
METHOD FOR FORMING NEOCYSTO-URETEROANASTOMOSIS DURING KIDNEY TRANSPLANTATION | 2022 |
|
RU2804247C1 |
METHOD OF CHOOSING TACTICS OF ARTERIAL VASCULAR RECONSTRUCTION WITH THE TRANSPLANTATION OF PANCREAS GLAND | 2017 |
|
RU2649966C1 |
METHOD FOR PREDICTING THE RISK OF EARLY CADAVERIC LIVER TRANSPLANT DYSFUNCTION | 2021 |
|
RU2765462C1 |
METHOD FOR THROMBECTOMY IN CASE OF OBSTRUCTION OF OUTFLOW VIA PROPER HEPATIC VEINS AFTER ORTHOTOPIC LIVER TRANSPLANTATION | 2017 |
|
RU2675028C1 |
METHOD FOR PREDICTING COURSE OF EARLY POSTOPERATIVE PERIOD IN PATIENTS AFTER LIVER TRANSPLANTATION | 2020 |
|
RU2747718C1 |
METHOD FOR OBTAINING KIDNEY TRANSPLANTS FROM DONORS WITH OUT-OF-HOSPITAL CIRCULATORY ARREST | 2023 |
|
RU2821024C1 |
Authors
Dates
2018-04-24—Published
2017-11-27—Filed