Bilateral living-donor lobar lung transplantation

Area of Science:

• Cardiothoracic Surgery
• Transplantation Medicine
• Donor Organ Management

Background:

• Cadaveric lung transplantation has limitations, including long waiting times for critically ill patients.
• Bilateral living-donor lobar lung transplantation (BLDLLT) is an alternative for patients too ill to wait.
• This procedure involves implanting lower lobes from two living donors.

Purpose of the Study:

• To describe the surgical technique of bilateral living-donor lobar lung transplantation.
• To detail donor lobectomy, preservation, and recipient implantation procedures.
• To present this novel approach for end-stage lung disease.

Main Methods:

• Surgical technique for right and left donor lobectomy.
• Donor lobe back-table preservation methods.
• Recipient bilateral pneumonectomy and implantation under cardiopulmonary bypass.

Main Results:

• The described methods facilitate the surgical procedure of BLDLLT.
• This approach enables lung transplantation for patients with urgent needs.
• The technique involves complex donor and recipient surgical steps.

Conclusions:

• Bilateral living-donor lobar lung transplantation is a viable alternative for patients awaiting cadaveric organs.
• The described surgical techniques are crucial for successful outcomes.
• This procedure expands options for lung transplantation in critically ill individuals.