Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지
DOI QR코드

DOI QR Code

Technical Aspects of Lung Transplantation: Pediatric and Lobar Transplantation

  • Choi, Sehoon (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2022.07.13
  • Accepted : 2022.07.21
  • Published : 2022.08.05
Download PDF
⟨ Previous Next ⟩

Abstract

Fewer patients undergo pediatric lung transplantation (PLT) than adult lung transplantation. Size mismatch is the key factor that limits the availability of potential donors. Every candidate for PLT is in a different scenario in terms of age, height and weight, size of structures, indications for PLT, the concomitant presence of a cardiac anomaly, and other individual-specific factors; thus, a thorough understanding of pediatric patients' medical problems is essential. Living-donor lobar lung transplantation (LDLLT) has only been performed once in Korea to date. However, since each step in the LDLLT is a well-established procedure, including intrapericardial lobectomy, lung procurement, and lobar lung transplantation, qualified surgeons and lung transplantation teams are competent to perform LDLLT in clinically necessary situations.

Keywords

Acknowledgement

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

References

  1. The National Institute of Organ, Tissue and Blood Management. KONOS annual report for 2019 [Internet]. Seoul: The National Institute of Organ, Tissue and Blood Management; 2020 [cited 2022 Jul 1]. Available from: https://www.konos.go.kr/board/boardListPage.do?page=sub4_2_1&boardId=30.
  2. Goldfarb SB, Levvey BJ, Cherikh WS, et al. Registry of the International Society for Heart and Lung Transplantation: twentieth pediatric lung and heart-lung transplantation report-2017; focus theme: allograft ischemic time. J Heart Lung Transplant 2017;36:1070-9. https://doi.org/10.1016/j.healun.2017.07.017
  3. Lancaster TS, Eghtesady P. State of the art in pediatric lung transplantation. Semin Thorac Cardiovasc Surg 2018;30:166-74. https://doi.org/10.1053/j.semtcvs.2018.04.007
  4. Greer M, Berastegui C, Jaksch P, et al. Lung transplantation after allogeneic stem cell transplantation: a pan-European experience. Eur Respir J 2018;51:1701330. https://doi.org/10.1183/13993003.01330-2017
  5. Spray TL, Mallory GB, Canter CB, Huddleston CB. Pediatric lung transplantation: indications, techniques, and early results. J Thorac Cardiovasc Surg 1994;107:990-1000. https://doi.org/10.1016/s0022-5223(94)70373-6
  6. Choi S, Park SI, Lee GD, et al. The first living-donor lobar lung transplantation in Korea: a case report. J Korean Med Sci 2018;33:e282. https://doi.org/10.3346/jkms.2018.33.e282
  7. Starnes VA, Barr ML, Cohen RG, et al. Living-donor lobar lung transplantation experience: intermediate results. J Thorac Cardiovasc Surg 1996;112:1284-91. https://doi.org/10.1016/S0022-5223(96)70142-3
  8. Mueller C, Hansen G, Ballmann M, et al. Size reduction of donor organs in pediatric lung transplantation. Pediatr Transplant 2010;14:364-8. https://doi.org/10.1111/j.1399-3046.2009.01242.x
  9. Date H, Aoe M, Nagahiro I, et al. Living-donor lobar lung transplantation for various lung diseases. J Thorac Cardiovasc Surg 2003;126:476-81. https://doi.org/10.1016/S0022-5223(03)00235-6
  10. Stocks J, Quanjer PH. Reference values for residual volume, functional residual capacity and total lung capacity: ATS Workshop on Lung Volume Measurements: official statement of the European Respiratory Society. Eur Respir J 1995;8:492-506. https://doi.org/10.1183/09031936.95.08030492
  11. Hwang SH, Lee JG, Kim TH, Paik HC, Park CH, Haam S. Comparison of predicted total lung capacity and total lung capacity by computed tomography in lung transplantation candidates. Yonsei Med J 2016;57:963-7. https://doi.org/10.3349/ymj.2016.57.4.963
  12. Weder W, Inci I, Korom S, et al. Airway complications after lung transplantation: risk factors, prevention and outcome. Eur J Cardiothorac Surg 2009;35:293-8. https://doi.org/10.1016/j.ejcts.2008.09.035
  13. Schweiger T, Nenekidis I, Stadler JE, et al. Single running suture technique is associated with low rate of bronchial complications after lung transplantation. J Thorac Cardiovasc Surg 2020;160:1099-108. https://doi.org/10.1016/j.jtcvs.2019.12.119
  14. Schroder C, Scholl F, Daon E, et al. A modified bronchial anastomosis technique for lung transplantation. Ann Thorac Surg 2003;75:1697-704. https://doi.org/10.1016/S0003-4975(03)00011-0